Project Most | Making the Most of Out of School Time

To apply for a position at Project MOST please complete this form.

Applicant�s Name:

Address (mailing & street):

Email Address

Telephone Number (Home):

Telephone Number (Cell):

Date of Birth:

Do you have a social security or tax id card available for
if you are hired?:Yes    No

In September, I will be in the following grade:10th 11th 12th

Please provide a description of your skills:

The program will run from 3PM to 6PM Monday through Friday, for a total of 15 hours. How many hours can you devote to the program? If you have a preference, which days would you like?:

Would you prefer to work at:
   John Marshall Elementary School
   Springs Elementary School

Have you ever been convicted of a crime, excluding minor traffic offenses?:Yes    No
Are any criminal charges or proceedings pending against you?:
Yes    No
If yes, please explain:

Please indicate any foreign languages you speak, read or write:

	Fluent:	Good:	Fair:
Speak:
Read:

References: Please give the name, address and telephone number of three references whom are not related to you whom we may contact.

Employment History � Most Recent:

1:	Employer:
	Address:
	Telephone:	Reason for Leaving:
	Hourly Rate:	Supervisor:
		Date employed:

2:	Employer:
	Address:
	Telephone:	Reason for Leaving:
	Hourly Rate:	Supervisor:
		Date employed:

3:	Employer:
	Address:
	Telephone:	Reason for Leaving:
	Hourly Rate:	Supervisor:
		Date employed:

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