RD
2121 BROADWAY, 3 FLOOR
NEW YORK, NY 10023
212-874-2410 www.stepsnyc.com
WORK/STUDY INTERVIEW APPLICATION
DIRECTIONS: COMPLETE BOTH SIDES AS THOROUGHLY AND ACCURATELY AS POSSIBLE. PLEASE PRINT!
Interview Date: ______________________
FIRST NAME: _________________________________ LAST NAME: __________________________________________
LOCAL ADDRESS: ____________________________________________________________________________________
APT. # __________ CITY: _______________________ STATE: ___________ ZIP CODE: ___________________________
PERMANENT ADDRESS: _______________________________________________________________________________
APT. # __________ CITY: _______________________ STATE: ___________ ZIP CODE: ___________________________
HOME PHONE ( _______ ) ______________________ DATE OF BIRTH: ___________________ SEX: _______________
SERVICE/CELL ( _______ ) ______________________ EMAIL ADDRESS: _______________________________________
COMPLETE ALL APPLICABLE INFORMATION:
Are you fluent in a language other than English? ____ Yes ____ No (Please Check One)
If yes, please list language(s): ______________________ ______________________ ______________________
DO YOU PERMANENTLY RESIDE IN THE NEW YORK CITY AREA ? ________
If YES, for how long ? __________________ If NO, how long do you plan to be in New York ? ___________________
Are you available immediately ? _________ Are you available for a minimum of twelve (12) weeks? __________
IMPORTANT: If accepted, you must be available to begin a Work/Study position immediately. If you are not available to begin
immediately, your application will not be considered at this time.
DO YOU HAVE ANY COMMITMENTS (i.e. a job, school, etc.) THAT MAY INFLUENCE YOUR AVAILABILITY? ________
If yes, explain: ________________________________________________________________________________________
EDUCATION
NAME OF INSTITUTION DATES GRADUATED COURSE OF DEGREE
STUDY
HIGH SCHOOL : FROM: TO: yes / no
COLLEGE : FROM: TO: yes / no
GRAD SCHOOL : FROM: TO: yes / no
OTHER (DESCRIBE): FROM: TO: yes / no
AREAS OF STUDY: (LIST TEACHERS FOR ALL DISCIPLINES AND CIRCLE YOUR STRONGEST)
BALLET: ____________________________________________________________________________________
JAZZ: ____________________________________________________________________________________
TAP: ____________________________________________________________________________________
MODERN: ____________________________________________________________________________________
THEATRE: ____________________________________________________________________________________
HIP-HOP ____________________________________________________________________________________
OTHER: ____________________________________________________________________________________
WORK EXPERIENCE (OTHER THAN DANCE) Please list most recent first
POSITION WHERE PRIMARY RESPONSIBILITIES DATES
FROM:
TO:
FROM:
TO:
FROM:
TO:
FROM:
TO:
REFERENCES (LIST TWO)
NAME AFFILIATION PHONE
( )
( )
Work/Study positions are awarded based on an evaluation and potential. Attitude and work experience are strongly
considered. People accepted into the Program must complete 8-10 hours of training, a short personal interview with the
Director, and sign a Work/Study contract to become eligible to take unlimited discounted classes at Steps. Work/Study
opportunities include general administrative and maintenance positions.
I hereby confirm that all information on this application is accurate and complete to the best of my knowledge:
SIGNATURE: ______________________________________________ TODAY'S DATE: ____________________