Application

Name*

First Middle Last

Birthday*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone*

Cell Phone*

Email*

Gender*

Male
Female
Non Disclosed

Current Grade*

School Attending*

What is your Grade Point Average (GPA)?*

What GPA would you like to graduate from high school with?*

Emergency Contact Person (Parent or Guardian)

Name*

First Last

Relationship to you*

Phone*

What position are you applying for? (select one or more)*

What is your t-shirt size?*

How did you hear about UrbanPromise?*

Do you have any exisiting medical conditions that we should be aware of if you get the job?*

Do you have any allergies?*

What leadership qualities do you posses or would like to develop?*

What is your purpose for wanting to be a StreetLeader?*

What are your strengths as a leader?*

What are your weaknesses as a leader?*

What experience have you had working with children?*

How would you be a positive influence on the children in the after school program or summer camp?*

Why should UrbanPromise hire you?*

Are you involved in any extracurricular activities? (at church, in the community, or at school)

What are your career goals? (What would you like to be doing 10 years from now other than sports?)

Previous work history:

The most recent job, if you have been employed

Company Name

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Supervisor's Name

First Last

Position

References that we may contact

Teacher, Pastor, Previous Employer or Counselor

(1) Name

First Last

(1) Phone

(1) Position

(2) Name

First Last

(2) Phone

(2) Position

Use this space to add any other information you think we should know.

I certify that all above listed information is true and correct. I understand that supplying false information will result in immediate termination.

Application

StreetLeader Application

Emergency Contact Person (Parent or Guardian)

Previous work history:

References that we may contact

Leave a Reply Cancel reply