4. Education Information Will you be a high school graduate by the summer? YES NO ______ HS Graduation Year: Name of High School: State: Name of College: State: Year in College: College Graduation Year: Bachelor’s Degree in: ___________________________________________________________________________________________ Master’s Degree in: 5. Employment Information Current/Most Recent Employer: __________________________________________ Position: Work Address: Work Phone: Immediate Supervisor: Supervisor’s Phone: Please answer the following questions about your last job: What were you responsible for? What did you enjoy the most? What was your biggest challenge? Who was your greatest influence? 6. Employee Conduct Phone agreement: I will not carry my cell phone, except during breaks. Or when specifically authorized to. (Your signature) Addictions: Have you used any illegal substance in the last year or are you addicted to ANY substance? (Caffeine and addictions to other legal or illegal substances might impair your ability to function at the BHPC) If yes, please explain.
4. Education Information Will you be a high school graduate by the summer? YES NO ______ HS Graduation Year: Name of High School: State: Name of College: State: Year in College: College Graduation Year: Bachelor’s Degree in: ___________________________________________________________________________________________ Master’s Degree in: 5. Employment Information Current/Most Recent Employer: __________________________________________ Position: Work Address: Work Phone: Immediate Supervisor: Supervisor’s Phone: Please answer the following questions about your last job: What were you responsible for? What did you enjoy the most? What was your biggest challenge? Who was your greatest influence? 6. Employee Conduct Phone agreement: I will not carry my cell phone, except during breaks. Or when specifically authorized to. (Your signature) Addictions: Have you used any illegal substance in the last year or are you addicted to ANY substance? (Caffeine and addictions to other legal or illegal substances might impair your ability to function at the BHPC) If yes, please explain.
2015_summer_staff_app_final.docx