2017 SSSC Staff Application

Last Name

This is a required question

First Name

This is a required question

Date of Birth

mm/dd/yyyy

Gender

This is a required question

Social Security Number

(format) xxx-xx-xxxx

This is a required question

Permanent Address (as of June 1st)

Street Address

This is a required question

City, State, Zip

This is a required question

Email Address (valid throughout the summer)

This is a required question

Home Phone

(format) 404-555-1234

This is a required question

Cell Phone

(format) 123-456-7890

This is a required question

Parish Name

This is a required question

Parish City & State

This is a required question

Parish Priest

This is a required question

Why are you interested in being on the SSSC Staff this summer?

This is a required question

Please indicate which position(s) you are interested in

Must select at most 4 options.

This is a required question

What skills or interests can you bring to the position(s) for which you are applying?

This is a required question

Are you willing to serve more than one week?

This is a required question

Please INDICATE which week(s) you are available

Week #1 June 24- July 1, 2017
Week #2 July 1 - July 8, 2017
Week #3 July 8 - July 15, 2017
Week #4 July 15 - July 22, 2017
Week #5 July 22 - July 29, 2017

Must select at most 5 options.

This is a required question

Have you served on the SSSC Staff in the past?

YES
NO

This is a required question

Please share which year(s) you have served at SSSC

(after the year, please indicate your position)

This is a required question