Bridges Beyond Brookwood Application

Please complete this application in full. If you are selected for an interview, you will receive a phone call/email from the District Office..

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* Contact Information:

First Name

Last Name

City

Email Address

Phone Number

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* When did you graduate from Brookwood Jr. High School?

Graduation Date?

Date

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* What High School do you currently attend?

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* Please identify your greatest strengths (list at least 3)?

Strength #1

Strength #2

Strength #3

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* What are your goals for your future?

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* Please list any extra-curricular activities and/or hobbies for which you participate/enjoy?

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* Are you able to work between the hours of 7:45 a.m. - 1:30 p.m.?

Yes

No

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* Please list three (3) References (you may use a high school teacher(s), administrator, pastor, business owner, etc). Please include the name of the reference, his/her occupation or relationship to you and his/her contact information (phone number and/or email address)

First Name (1)

Last Name (1)

Phone Number (1)

Email (1)

Occupation or relationship to you? (1)

First Name (2)

Last Name (2)

Phone Number (2)

Email (2)

Occupation or relationship to you? (2)

First Name (3)

Last Name (3)

Phone Number (3)

Email (3)

Occupation or relationship to you? (3)