Staff Application

Future Stars Staff Application

Please fill out the form completely. Any questions or problems, feel free to call us at (215) 674-0494 or email us.

City: State: Zip:
Cell Phone: Home Phone:
Date of Birth:
Year in School: as of 9/2015
Profession: Teacher   Coach   Other
Special Skills/Interests:
Preferred Site (Check all that apply:
List Dates Available:
Employment History/Experience:
References: 3 non-relatives
(please include cell phone # & email):
Check those that apply: Standard First Aid 
Advanced First Aid



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