HCAA | Summer League Workers

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email

Birthday*

Grade This Year*

Position Applying For*

T-shirt Size*

WORK HISTORY*

List previous 3 employers (if applicable) providing employer name, address, dates, and reason for leaving. (Enter "none" if you have never been employed)

EXTRACURRICULAR ACTIVITIES*

List any known dates you are unavailable from May 20 through June 30. (sports camps, practices, vacations, etc.)

PERSONAL REFERENCES*

List three references. Cannot be family and must include 1 teacher. Please include a contact number for those that are not teachers.

By submitting this form I agree that the above information is correct to the best of knowledge. I understand that providing false information will lead to the disqualification of my application.

Hamilton County Athletic Association does not discriminate on the basis of race, color, religion, notional origin, age, sex, marital status, disability, unfavorable military discharge, or any other unlawful basis in the recruitment, selection, or employment of its employees.

In accordance with Public Act 93-0211(effective January 1, 2004) Section 2630/12: Applicants are not obligated to disclose sealed or expunged records of conviction or arrest. Furthermore, employers may not ask if an applicant has had records expunged or sealed.

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