GENESYS WORKS APPLICATION

Application

Personal Information

First Name *
Middle Initial
Last Name *
Street Address *
Apartment Number
City *
State *
Zip Code *
Home Phone * ()   - 
Your Cell Phone ()   - 
Email Address
Social Security Number *  -   - 
Birthdate *
 / 
 / 
Gender *
Ethnicity *
Which program would you like to apply for? *
Which program would be your second choice? *

Parent/Guardian Information

I live with *
Below is the contact information for my *
First Name *
Last Name *
Home Phone * ()   - 
Cell Phone ()   - 
Work Phone ()   - 
Email Address
Below is the contact information for my
First Name
Last Name
Home Phone ()   - 
Mobile Phone ()   - 
Work Phone ()   - 
Email Address
In case of emergency, who should we contact (from above)? *

School Information

Current High School *
Current year in school *
Graduation Date *
 / 
On average, how often do you miss school? *
Name of person who will recommend you *
Recommender's position *
What classes have you taken in high school that relate to the program you are applying for? (Please use commas to separate the classes. Enter "none" if you have not taken any.) *

Work Information

Are you currently working? *
 Yes
 No
If so, where are you currently working?
What is your current position?
Will your school schedule allow you to work from 1:00 - 5:00 pm, Monday - Friday? *
 Yes
 No
 Unsure
If your school schedule allows, are you willing to work for Genesys Works every weekday? *
 Yes
 No
Is there anything that would keep you from working during the hours specified above? *
 Yes
 No
If so, please explain.
Can you participate in Genesys Works events on the weekends? *
 Yes
 No
 Unsure
If not, please explain. *
Are you a citizen of the United States? *
 Yes
 No
If not, are you authorized to work in the U.S.?
 Yes
 No
Have you used illegal drugs in the last six months? *  Yes
 No
Genesys Works is a drug-free work environment. Would you be willing to take a drug test? *
 Yes
 No
Have you ever been convicted of a felony? *
 Yes
 No
If so, what?

Transportation Information

Describe how you will be getting to Genesys Works in the summer and work during the school year. *

Computer Access Informaton

Do you have a working computer at home? *
 Yes
 No
If so, are you allowed to use it?  Yes
 No
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.

Once trained, you will be assigned to perform technical services for major corporations during your senior year in addition to attending weekly, evening meetings to further your professional development.
Are you willing to put in the hard work necessary to remain in the Genesys Works program for the full 14 months? *
 Yes
 No
What do you plan to do after high school? *
What profession would you like to pursue? *
The Genesys Works summer training program runs from mid-June to mid-August.  You will be attending either the morning or the 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 classes everyday, Monday through Friday, for the entire duration of the summer training program? *
 Yes
 No

Essays

Please answer the following questions thoroughly so that Genesys Works can get a better picture of who you are.
What do you believe the Genesys Works program is? *
Why should you be chosen to be in Genesys Works? *
How will you benefit from being in Genesys Works? *
What does being a "successful person" mean to you? *
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