Intent to Apply for Employment Form

Name*

First Name(s)Middle Name(s)Last Name(s)

Gender Identity*

Pronouns*

(e.g., they/them, he/him, she/her, etc.)

Race*

Email*

example@example.com

Phone Number*

What is your primary language?*

What languages do you speak fluently besides your primary? If not applicable, answer "none."*

Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Would you be interested in working part-time or full-time?*

Part-timeFull-timeEither option works for me

What positions would you be interested in? Select all that apply.*

How do you identify with the LGBTQIA+ community? Select all that apply.*

I am LGBTQIA+My child identifies as LGBTQIA+My partner identifies as LGBTQIA+A friend/family member identifies as LGBTQIA+I have no personal connections to the LGBTQIA+ community, but I want to help make a difference within the communityI do not wish to disclose my connection to the LGBTQIA+ communityOther

Do you have any relevant certifications? If not applicable, answer "none." *

How did you hear about PROUD Academy?*

Is there anything else you would like to share with us about yourself?

If you have a resume or cover letter you'd like to submit, please attach the documents below.

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Please note that this does not constitute a formal application for employment.

Intent to Apply for Employment Form

General Information

Employment Information