DHS Jobs Office Student Registration Form

Contact Information

First Name: Last Name:

Age: Select One 13 14 15 16 17 18 19 20 21 Year of Graduation: Select One 2011 2012 2013 2014 2015 2016 DHS Graduate

Email Address

Home Number: Cell Phone Number:

Do you want to receive text messages with jobs that match your interests? Yes No

Who is your Cell Phone Carrier. Only needed if you want text messages Select One Alltel AT&T Boost Mobile Sprint Nextel T-Mobile US Cellular Verizon Virgin Mobile USA

Availability and Job Interests

Willing to work after school? Yes No

Willing to work evenings? Yes No

Willing to work weekdays? Yes No

Willing to work weekends? Yes No

Willing to work summer? Yes No

Alert messages: Select the Job Types you want to be notified about.

Child Care and Babysitting
Computer Skills
Helping at kids parties or party server jobs
Music lessons
Odd Jobs
Office Jobs
Pet Sitting/Dog Walking
Restaurant
Retail
Tutoring/Homework Helper
Summer Jobs
Yard Work

Skills and Talents

Are you CPR certified Select One Yes No Post 53

Have you completed a babysitting course? Yes No

Have you completed a lifesaving course? Yes No

Tutoring and Homework Helpers

Are you a member of the National Honor Society? Yes No

Do you have prior tutoring experience? Yes No

What grade level are you able to tutor Select One AP and Honors High School Middle School Elementary School

What subjects are you able to tutor in?

Biology	Social Studies
Chemistry	English
Earth Science	Algebra
Physics	Geometry
Middle School Science	Calculus

Could you tutor a language, do you speak a second language?

Spanish	Latin
German	Mandarin
French	Italian

 

Music

What Instruments are you able to tutor in? Piano Flute String Instruments Other:

Piano (Keyboards)	Flute
Strings	Other Woodwinds
Drums (Percussion )	Brass

Sports and Coaching

What sports are you able to help coach:

baseball	basketball
field hockey	football
lacrosse	soccer
softball	tennis