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* 1. Legal First Name

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* 2. Legal Last Name

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* 3. Preferred Name

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* 4. Personal Pronouns

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* 5. Street Address

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* 6. City

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* 7. State

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* 8. Zipcode

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* 9. Phone Number

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* 10. Email

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* 11. Confirm Email

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* 12. Dates Available - check all that apply

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* 13. If selected for employment, I agree to submit to a background check. Please note that Fit4Kids does not automatically disqualify applicants on the basis of prior convictions.

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* 14. Reference #1 - Professional Reference (Work/School) Full Name, Company, Relationship to you, Phone Number, and Email

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* 15. Reference #2 - Personal OR Professional Reference - Full Name, Company, Relationship to you, Phone Number, and Email.

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* 16. Please check all of the boxes below to indicate your skill and experience.

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* 17. Do you have experience working with students facing health or educational challenges due to poverty?

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* 18. Please upload your cover letter. 

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 19. Please upload your resume.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 20. Where did you hear about this opportunity?

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* 21. Certification of Application

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