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General Information.
Name
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First
Last
*
Last
Email
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Phone
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Can we text you?
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Yes.
No Thank you.
Background Check Area.
Last six numbers of your social secutry. (just the last 6 numbers.)
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Date of Birth.
*
How old does this make you?
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Street Address, Town, State, Zip Code.
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Fathers Full Name: (for CORI/SORI Checks.
*
Mothers Full Name (maiden name as well): (for CORI/SORI Checks.
About you?
Tell us about yourself?
*
What are you goals this summer?
What best describes you?
*
I work well with others.
I don’t work well with others.
Sometimes I work well with others.
How confident do you feel about navigating the responsibilities of your new position?
*
I feel really confident.
I sometimes feel confident.
I do not feel confident at all.
Do you surf?
Yes.
No.
I want to learn.
Do you have experience teaching surfing?
Yes.
No.
I want to learn.
What challenges have you experienced? Were you able to get the resources you needed to work through this challenge? If not, please explain.
*
What changes can we make to help you be even more successful in your role?
*
Do you have any short- or long-term goals you’d like to share?
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Personal Background Information.
1. Personal Reference: Full Name, Phone, Relationship.
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2. Personal Reference: Full Name, Phone, Relationship.
Do you have any work experience?
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No.
If yes. Please explain.
Signature
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I answered all questions to the best of my ability.
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