Application

Instructions

You may complete the application in one sitting, or you may begin your application now and return later to complete it. Please make sure that you save all information before exiting the system. Before beginning you may want to gather the following information: social security number and email address. * I have all information and I am ready to begin my application.

Personal Information

First Name *

Middle Initial

Last Name *

Address

Street Address *

Apartment Number

City *

State *

Zip *

Phone Numbers (must give at least one)

Home Phone

Please enter phone number: 123-456-7890

Cell Phone

Please enter phone number: 123-456-7890

Email Address *

Social Security Number * Please format: 123-45-6789

Gender *

Birthdate * Format your birthday like this: 01/01/1999

Ethnicity *

Which program would you like to apply for? *

What is your second choice program? *

How did you hear about the Genesys Works program? *

Name of person you heard about Genesys Works from *

Parent/Guardian Information

I live with *

Please list the name and contact information for at least one of the people you live with below.

First Name Contact 1 *

Last Name Contact 1 *

Email Address Contact 1

Home Phone Contact 1 * Please enter phone number: 123-456-7890

Cell Phone Contact 1

Please enter phone number: 123-456-7890

First Name Contact 2

Last Name Contact 2

Email Address Contact 2

Home Phone Contact 2

Please enter phone number: 123-456-7890

Cell Phone Contact 2

Please enter phone number: 123-456-7890

Are you eligible to receive Free or Reduced Lunch? *

What is the highest level of education completed by your mother? *

What is the highest level of education completed by your father? *

School Information

Current High School *

Other High School Name *

Current year in school *

Graduation Date * Please format: 01/1999

On average, how often do you miss school? *

What classes have you taken in high school that relate to the program you are applying for? (Please enter commas to separate the classes. Enter "none" if you have not taken any.)

Classes *

Work Information

Are you currently working? * YesNo

Where do you work? *

What is your current position? *

Are you eligible to work in the United States? * YesNo

Have you used illegal drugs in the last six months? * YesNo

Genesys Works is a drug-free environment. Would you be willing to take a drug test? * YesNo

Have you ever been convicted of a felony? * Yes No

If yes, please explain. *

Transportation Information

How you will get to Genesys Works in the summer? *

How will you get to work during the school year? *

Computer Access Information

Do you have a working computer at home? * YesNo

If so, are you allowed to use it? YesNo

How often do you check your email? *

Genesys Works Information


Upon acceptance into the program, you will undergo eight weeks of training where you will prepare to enter and succeed in a corporate environment by learning professional and technical skills. From day one of the training program, you will be exposed to a high level of expectations.

The Genesys Works summer training program runs from mid-June to mid-August. You will be attending either the morning or afternoon session. Although Genesys Works cannot guarantee you a particular schedule, which of the sessions would you most likely be able to attend? *

Why would this session be the best for you? *

Are you willing to commit to attend the Summer training everyday, Monday through Friday, for the entire duration of the summer training program? * YesNo

You indicated that you attend a high school on the west side of Houston. Would you prefer to attend summer training in our Downtown Office or our Westside Office? *


Genesys Works - Houston does not guarantee that you will get an internship. However, if you successfully earn an internship, you will be assigned to perform technical services for major corporations during your senior year in addition to attending weekly, evening Career and College Connection meetings.

Essays

What do you believe the Genesys Works program is? *

How will you benefit from being in Genesys Works? *

What does being a "successful person" mean to you? *

Six Word Story

Create a story in exactly six words that makes you stand out from the crowd of other applicants. Think about IMPACT. Be brave.

What unique background, abilities, achievements, or motivations will you bring to Genesys Works? Why should Genesys Works choose you for our program?

Here are some samples to get you started.

I don't guess solutions, I troubleshoot.
Small feet but taking big steps.
Courageous Soul, Explorer At Heart, Me!

My Six-Word Story *

Instructions

Personal Information

Parent/Guardian Information

School Information

Work Information

Transportation Information

Computer Access Information

Genesys Works Information

Essays

Six Word Story

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