Online Employment Application

*Please note:
*This application is for temporary spring and/or summer employment only.
*Please submit using Internet Explorer and do not use browser back or forward buttons while filling out this application.

Use this application if you are applying for one of the following positions:

Academic	Operations
Program Director Head Team Leader Team Leader	Site Director Office Manager Office Coordinator

If you are applying for a position as a member of the LeadAmerica Faculty, please submit your curriculum vitae or current resume and cover letter by email to staff@lead-america.org . If you’re applying for a full time position in our Admissions, Operations or Academics departments, please submit your current resume and cover letter by email to careers@lead-america.org

Please read Is LeadAmerica Right for You before completing the LeadAmerica application.

APPLICATION INFORMATION

*Required

New Applicant

Returning Staff

*Are you legally eligible for employment in the U.S.A. with a valid social security number ?
Eligibility requirements can be located here: www.uscis.gov/i-9

(If yes, verification will be required)

Yes

*First Name:	*Middle Name:	*Last Name:
(As it appears on your Driver’s License or Passport)	(As it appears on your Driver’s License or Passport)	(As it appears on your Driver’s License or Passport)

*Date of Birth:		*Gender:
(mm/dd/yyyy)


*Current Address:

*City:	*State:	*Postal Code:	*Country:

My permanent address is the same as my current address
If your permanent address is different from your current address, please complete the following:

Permanent Address:
Note: This should be an address at which you can receive mail as of February of the following year after your employment. It will be the address to which we will send your tax information and any formal correspondence. If this address changes, please contact our staffing coordinator (staff@lead-america.org) to update.


City:	State:	Postal Code:	Country:
	State abbreviation (e.g. CA, NY...)

*Place of Birth:	*City:	State:	*Country


*Email Address:
(email is the primary mode of contact) Alternative Email Address:	Reenter Email Address to Confirm: Reenter Alternative Email Address to Confirm:

*Primary Phone:	Secondary Phone:
(999-999-9999)	(999-999-9999)

International Applicants-Phone:

*Best time to contact you: check all that apply

AM (8am - 12pm EST)

PM (12pm - 5pm EST)

*Your Polo Size

AVAILABILITY *check all that apply

Summer (All)

- June 5 - June 30

- July 1 - July 15

- July 16 - July 30

- July 31 - August 15

Please list any exceptions or restrictions to availability:

POSITIONS
I am applying for the following position(s):

EDUCATION Complete all fields that apply

*Undergraduate	Graduate	Doctoral
Status:	Status:	Status:
Degrees(s): (e.g. Bachelor of Science, BS)	Degrees(s): (e.g. MBA, MS, MA)	Degrees(s): (e.g. Ph.D, M.D., D.D.S.)
Major:	Major:	Major:
College/University:	College/University:	College/University:
Graduation Date: (mm/yyyy)	Graduation Date: (mm/yyyy)	Graduation Date: (mm/yyyy)

Please review the above information before clicking “Continue.” Returning to this page after clicking "Continue" will result in a loss of information.