Applicant Name:
Position Applying for:	CSA Instructor (cheer) TDA Instructor (dance) Office Manager Program Director Campwear Sales Rep.
Gender:	male female
Birthday (mm/dd/yyyy):
Present Address-Street:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Permanent address-Street:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code:
Home Phone:
Cell Phone:
Email address :
High School attended:
College attended or attending:
Magor in College:
Cheer or Dance Experience:
Teaching Experience :
Clinics Attended :
Work Experience :
List top THREE stunting skills you can do as a top person (CSA only):
List top THREE stunting skills you can do as a base (CSA only):
List Tumbling skills (CSA only):
List top dance skills (TDA only):
Other Talents (singing, athletics, etc.):
Scholastic, School and Community Honors:
Why do you want to work for CSA/TDA?:
Please list dates that you CANNOT work:
Please List 2 References (Name, Ph#, Relationship):
Do you have your own transportation:	Yes No

Thanks for your interest in being a part of CSA & TDA!