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Employment Application

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After-School All-Stars Application For Employment

* required information


General Information First Name:*
Last Name:*
Middle Initial:
Email:
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:*
Cell Phone:
Alternate Phone:
Are you 18 years or older?:*	Yes No
Birth Date:*	(mm/dd/yyyy)
Social Security Number:
Why are you applying to work for the After-School All-Stars?:
What position are you applying for?:
Job-related skills, training, and other qualifications you may have from previous employment or other experiences:
Hours Required:
How were you referred to ASAS?:
When are you available to work?:
Availability:*
Specific Days/Hours of Availability:*
Do you have any special skills or experience in the following areas? (check all that apply):	Arts/Crafts Coaching Computers Cooking Event Planning Games Music Second Language Sports Theater/Drama Other Specialty Area
Please explain past experience/interest/certifications in checked hobbies above:
List school, location, degree earned and # of years (and course of study) completed for the highest level of education achieved:
Are you currently First Aid certified?:	Yes No
Are you currently CPR certified?:	Yes No
CPR Expiration Date:	(mm/dd/yyyy)
First Aid Expiration Date:	(mm/dd/yyyy)
Employment Information Employer 1 Name:
Address:
Telephone:
Supervisor Name:
Duties:
Dates Employed:
Job Title:
Employer 2 Name:
Address:
Telephone:
Duties:
Dates Employed:
Job Title:
Supervisor Name:
Personal Reference 1 (please include relationship to applicant and phone number):
Personal Reference 2 (please include relationship to applicant and phone number):
Personal Reference 3 (please include relationship to applicant and phone number):
Thinking back to when you were younger and the activities that you participated in, what made them fun and memorable?:
If you became employed by ASAS, what could you contribute that would make the programs fun and memorable for the youth?:
Tell us about an experience that has made an impact on the way you work w/others or children:
Have you ever been convicted of a criminal offense (felony or misdemeanor)?:	Yes No
If yes, please explain:
I have read and agree with the clause regarding denial of employment due to criminal offense:*	Yes No
I have read and agree with the Volunteer Code of Conduct:*	Yes No
I have read and agree with the Certification of Applicant clause:*	Yes No