Student Application: E2D Re-Image CLT  Computer Lab
E2D is committed to a policy of equal employment opportunity and does not discriminate on account of race, age, color, sex, national origin, religion, physical ability, or otherwise as may be prohibited by federal and state law.
APPLICATIONS DUE BY OCTOBER 15, 2021 AT 5 PM.
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Student Name: *
Student CMS ID number: *
Address: *
Phone Number: *
Student Email Address (not CMS if available):
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address:
Gender:
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Race/Ethnicity
School:
Grade (2021-2022  School Year): *
GPA:
Are you an E2D laptop recipient:
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Will this be your first job:
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Have you even been convicted of a crime or been suspended from school?
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If yes, to the question above, please explain.
What impact would this job have on your academic and professional aspirations?
How would you define the word responsibility and how have you demonstrated that trait?
Please explain the impact technology has had on your life:
Do you have any experience working with technology? If yes, please describe. If no, please share a time you were faced with a new challenge and how you accomplished success.
Can you commit to adhering to all Covid-19 mitigation policies? We take Covid-19 very seriously and insist that all of our technicians do as well. We require social distancing, masks, and hand washing in the labs and that techs disclose all symptoms and/or exposure to their supervisors immediately. All techs are compensated at their standard rates during any Covid-19 related absence from work.
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Teacher Reference (please provide name and  email): *
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