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Greater Buffalo Gymnastics Internship Program Please indicate which position you are applying for* Internship Personal InformationName* First Last Current Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Telephone Number*Email* Are you Age 18 or Older?*YesNoIf under 18, Do you have working papers?YesNoCertificate NumberDate of Issuance Date Format: MM slash DD slash YYYY Are you authorized to work in the U.S.?*YesNoUpon hire, will you be able to provide the required employment eligibility document(s)?*YesNoDate you can start* Date Format: MM slash DD slash YYYY Do you have Reliable Transportation? YesNoWork Hour Restrictions*Do you know of any restrictions, personal or otherwise, which would restrict the hours you can work? Are you Employed?*YesNoEmploymentLast 3 Employers, most recent first*Start and End DateName, Address, Telephone of EmployerSupervisorPositionReason for Leaving Which of your Positions did you like best, and why?*Personal References*In addition to the past employers listed above; please provide the names of three persons not related to you, whom you have known for at least one year.NamePhoneHow known?How Long? Education*Education LevelName & Location of SchoolNumber of YearsDid you Graduate?Subjects Studied Do you have any relatives that currently work at Greater Buffalo Gymnastics?*YesNoWhat do you know about our organization and what inspired you to apply for an internship?*Position previously applied for, and date applied*Your Special Value*What skills, traits and/or talents do you have that you feel would positively contribute to our growth, development and continued innovation? What is the last book you read, and what did you learn from it?*What is your favorite movie and why?*State any additional information you feel may be helpful to us in considering your applicationApplicant's StatementI certify that all information submitted by me on this application is true and complete. I understand that this application is not, and is not intended to be, a contract of employment. I hereby authorize investigation of all statements contained in this application including, but not limited to education, compensation, reasons for termination of employment, work performance, abilities and other qualities pertinent to my qualifications for employment. I release Greater Buffalo Gymnastics & Fitness Center, LLC and those individuals or companies providing such information from any liability or damages, except where such release is prohibited by statute or regulation. In the event of employment, I understand that false, misleading, misrepresented information or omissions given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company. Applicant's Statement* I have read and agree with the "Applicant's Statement"