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Opportunity Request Form

Personal Information
First Name
Middle Name
Last Name
Address
City/Town
State/Province
Zip Code
Are you at least 18 years old?

Phone Number
Evening Phone
Email Address
What prompted you to apply to legends?
Other


During the past 7 years, have you ever been convited of a crime. (If Yes, please describe.) Yes No

Education History
Name of School & Location	Years Attended	Did You Graduate?
Grammar School		Yes No
High School		Yes No
College		Yes No
Trade, Business, or Correspondence School		Yes No
Subjects Studied

Former Employers (List below four employers, starting with the last one first)

Former Employer #1

Reason for leaving:

Former Employer #2

Reason for leaving:

Former Employer #3

Reason for leaving:

Former Employer #4

Reason for leaving:

School Related Extra Cirricilar Activities
Activity #1
Length of time
Availability During This time
Activity #2
Length of time
Availability During This time
Activity #3
Length of time
Availability During This time

Carefully type the characters you see in the picture below. Form submission will fail if there is a mis-match. (What is this?)
Letters are not case sensitive