Nathan & Shirley Rothner ATT Summer Program - Job Application



Step 1: General Information

Title & First Name:
Last Name:
Birth date:
Address:
City:
State:
Zip Code:
Social Security Number:
Home Phone:
Work Phone:
Cell Phone:
E-Mail:
   
Position you are interested in: Do you have any special interests or talents? Please specify:
Teacher
Counselor
CIT
(Counselor and CIT positions are for the entire day and for both sessions.)

If applicable, school you attend:


Highest level of education completed:


Have you worked in the ATT Summer Program before?
Yes
No

Position Held:
Computers
Woodworking
Dance
Art - Please specify
Photography
Science
Sports
Other

If you chose Art or Other, please specify:
   

Step 2: Work History

Work history (Summer or school year): List most recent positions held.
Name of Employer:
Dates of Employment:
Position Held:
 
   
Name of Employer:
Dates of Employment:
Position Held:
 
   
Name of Employer:
Dates of Employment:
Position Held:
 
   
Why are you interested in working in the ATT Summer Program?:
   

Step 3: References

Reference 1:
Name:
School or Company Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
   
Reference 2:
Name:
School or Company Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
   

Step 4: Resume

Please attach your resume to this application:
   
 
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