StreetLeader Application
For the past four-years Crossover Community Impact has hired between 10 and 20 teens (StreetLeaders) as part-time employees in the IMPACT Kids After School Program and Summer Day Camp to work as tutors and mentors for our elementary age students.

We also expect our StreetLeaders to be leaders in north Tulsa. We challenge our StreetLeaders to use their influence and leadership abilities to make positive changes in the lives of our elementary kids, other StreetLeaders, and friends at school and in their neighborhoods.

Personal Information:
First Name: *
Your answer
Last Name: *
Your answer
Address: *
Your answer
Cell Phone: *
Your answer
Parent/Guardian Phone Number: *
Your answer
Facebook and/or Instagram Name: *
Your answer
Email Address: *
Your answer
Birthday: *
MM
/
DD
/
YYYY
Gender: *
What school do you go to? *
Required
What grade are you in? *
What is your GPA? *
For Example: 4.0 3.5 2.7
Your answer
do you have any allergies? *
if yes, please explain in the other option.
Required
Do you have any medical conditions that we should be aware of if you get the job? *
if yes, please explain in the other option.
Required
Do you have previous work experience? *
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