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GCA Digital Application
Employee Application for Generation Changers Academy
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* Indicates required question
Full Name
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Your answer
Date of Birth
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DD
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YYYY
Address
*
Your answer
Phone Number
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Your answer
Email
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Your answer
Emergency Contact Name
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Your answer
Emergency Contact Number
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Your answer
Available Start Date
*
MM
/
DD
/
YYYY
Social Security Number
Your answer
How did you hear about GCA?
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Church
Facebook
Google
Friend
Other:
Desired Hourly Rate
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Your answer
Position Applied For
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Lebanon Campus
Donelson Campus
K-5th
Availability
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Full-Time
Part-Time
Are You a Citizen of the Unites States?
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Yes
No
If not, are you authorized to work in the U.S?
Yes
No
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Have you ever been convicted or pleaded guilty to any offense involving the manufacture, sale, distribution or possession of an illegal substance?
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Yes
No
If yes, when?
MM
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DD
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YYYY
Have you ever been convicted of a felony?
*
Yes
No
If yes, Please Explain.
Your answer
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