Steps on Broadway - dance, all styles, all levels for all ages

Work/Study Application

Steps On Broadway®
2121 Broadway, 3rd Floor
New York, Ny 10023

Directions: Complete As Thoroughly And Accurately As Possible. Print this form and mail it to Steps, or bring it to Steps in person.

First Name: Last Name:

Local Address: apt. #

City: State: Zip Code:

Permanent Address: apt. #

City: State: Zip Code:

Home Phone (area code first)	Date Of Birth:	Sex:
Service	Height:	Weight:

Please Check One (1) Of The Following:

Complete All Applicable Information:

I Am A Citizen Of The United States

SS #

I Am A Resident Alien

Type Of Visa (If Not Us Citizen):

I Am A Citizen Of(Country):

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 ?

For How Long ?

If Not How Long Do You Plan To Be In New York ?

Are You Available Immediately ? Yes

Are You Available For A Minimum Of Twelve (12) Weeks ? Yes

Important: If accepted, you must be available to begin a Work/Study 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 ?

Explain:

Education

	Name / Dates Attended	Graduated	Course Of Study	Degree
High School
College
Grad School
Other (Describe)

Areas Of Study: (List Teachers For All Disciplines And Circle Your Strongest)

Ballet

Modern:

Other:

Work Experience (Other Than Dance)

Position	Where	Primary Responsibilities	Dates
			From: To:
			From: To:
			From: To:
			From: To:

References (List Two)

Name	Affiliation	Phone

Describe your computer skills, list any programs you are familiar with.

Describe any clerical skills you have: keyboard, cashier, filing, etc.

Work/Studys Are Awarded Based On An Evaluation Of Dance Technique And Potential. Attitude And Work Experience are Strongly Considered. Dancers Accepted Into The Work/Study Program Must Complete 10 Hours Of Training, AÏshort Personal Interview With The Work/Study Director, And Sign A Work / Study Contract To Become Eligible To Take unlimited 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: ____________________