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Application Form

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*Name:
*City:
*State:
*Daytime Phone:
*and/or Evening Phone:
Contact me during: Day Evening Doesn't Matter
*E-mail address:
How did you hear about us?

*How many hours of work are you seeking per week? Hours
*Are you looking for full-time or part-time work? Full-time Part-time Either
Availability:  
Sunday Morning Afternoon Evening
Monday Morning Afternoon Evening
Tuesday Morning Afternoon Evening
Wednesday Morning Afternoon Evening
Thursday Morning Afternoon Evening
Friday Morning Afternoon Evening
Saturday Morning Afternoon Evening
Current occupation:
Highest level of education obtained:
Do you require public transportation? Yes No
Position you are applying for:
Specify (if applicable)
Special Events Parties After-school Enrichment Programs
Daytime In-Class Workshops Additional Office Hours Other

Please answer the following questions as completely and honestly as you can. The more information we have regarding your strengths, weaknesses, intentions, expectations, etc., the more accurately we can assess whether or not SchoolHouse Chess is right for you!
Tell us about yourself:
Please summarize your prior experience with children:
Please summarize your experience with chess:
What are your hobbies/interests:
What would others consider your greatest strengths:
What would others consider to be areas where you need improvement:
What do you see yourself doing 2 years from now:
*Have you ever been convicted of a crime or a sex related crime?
Please list 3 references and contact information (include at least one professional reference)
Contact Phone Relationship
(eg: former employer)
Please feel free to add any other information about yourself that you feel may help us better understand you and your personal skills/abilities:
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