We meet Fridays of the School Calendar from 4:30pm-7:00pm!

Must be able to commit to the schedule from now until the end of the school year (Mid-May 2024)!

Applicant Legal Name

First Name

Last Name

Email Address

Current Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home or Cell Phone Number

(###)

###

####

Date of Birth

Education History

Name of College, University or Trade School- Dates Attended/Certificate or Degree Earned

Position Desired

Boy's Program Leader (Male)

Girl's Program Leader (Female)

1. Available Start Date 2. Are you currently Employed?

General

Subjects of Special Study or Research Work, Special Skills, Activities, Experiences

Employment History

1. Most Recent or Current Company Name 2. Telephone 3. May we contact this employer (yes or no) 4. Address 5. Reason for Leaving

References

1. Reference Name 2. Reference Phone Number 3. Relationship

Other Details You would like for us to know!