Jenuine Creations

BOSS Representative Application - 2013
Full Name

First NameLast Name
Parent or Guardian

First NameLast Name
Have you informed your parent or guardian of the REQUIRED Student and Parent meeting to be able to participate as a BOSS Representative for Jenuine Creations, LLC? (Date TBD)
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Birth Date

MonthDayYear
Please tell us a little bit about yourself.
What High School do you attend? And will you be graduating in 2013?
What High School activities are you involved in? (Please be specific and as detailed as you would like)
Grade Point Average
Do you have a job? If so, what is the name of your place of employment?
What is your favorite hobby outside of school?
How did you hear about us?
Lastly, why do you believe you are a good candidate to be a BOSS Representative for Jenuine Creations, LLC?
Please type your name as an electronic verification* that the information you provided is accurate and true to the best of your knowledge.
Please upload a recent photo of yourself for our reference.

Upload a File

Cancelof
Note:

Electronic verification* signature does NOT constitute a legal contract between any individual and Jenuine Creations, llc via this online application. Once candidates are selected for the 2012-2013 BOSS Program, signature is required by Student and Parent/Guardian {contract signed at the Student Parent Meeting, date TBD} to participate in the Program.
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BOSS Representative Application - 2013

Note: