First Name:  * Last Name:  * Email Address:  * Address:  * City:  * State:  * Zip Code:  * SS#  * TxDL/Tx ID  * contact number  *   Emergency Contact Person  * Emergency Contact Number  *   Please List 3 References-Name-number-Relation  * Tell us about yourself What date are you available to begin work?  * What shift are you available to work? AM 445am-645a  * What are your strengths and assets?  * Why do you want to work for Beck and Call-Sa Transformation?  * What is your Fitness/Teaching/Coaching experience with groups?  * Are you more whimsical and creative or organized and structured? Explain.  * Are you currently CPR and/or First Aid Certified?What Certifications do We have a strict attendance policy/ camps are M-F 4 week on/1 week off. Tardiness and absenteesism are not tolerated. Are you able to attend your designated camp time on time?  * What date are you available to begin work?  * PLEASE READ CAREFULLY AND SIGN I certify that all the information provided by me in connection with my application whether on this document or not is true and complete and I understand that any misstatement falsification or omission of information may be grounds for refusal to hire or if hired termination. I understand that as a condition of employment I will be required to provide legal proof of authorization to work in the U.S. I authorize investigation of my previous employers and my personal background and release all parties from all liability for any damage that may result in furnishing information to you. I further acknowledge that I am submitting my signature electronically by signing my full name/Today's date/and the last 4 of my social security number.  * Do not enter anything in this field:

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