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Coach Application
Libertas Christian School
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First Name
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Middle Name
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Last Name
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Street Address
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City
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State
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Zip
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Are you over the age of 18 and eligible to work in the United States?
Yes
No
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Day Phone Number
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Evening Phone Number
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Email Address
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Date Available to work
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DD
/
YYYY
Have you ever been convicted of, pleaded guilty, or no contest to a felony or any act of dishonesty, breach of trust, or moral turpitude?
Yes
No
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If yes, please list below the nature of the offense, date, location, and nature of the sentence
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Have you lived outside of Michigan in the last 25 years?
Yes
No
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If yes, where? (City and State)
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