ࡱ> ?A>` $"bjbj ,4<<<<D`t<GIIIIII$hm99@99m{9 G9G P?<CRG0@h9999999mm 9999999x x  Crossroads Recreation Leader Application - DUE WEDNESDAY AUGUST 29 Send completed application to: Email: Fax: Mail: Drop Off:  HYPERLINK "mailto:iivy@muw.edu" iivy@muw.edu 662-329-7242 Crossroads Project 1100 College Street MUW - 1635 Columbus, MS 39701 MUW Center for Creative Learning or MUW Stark Recreation Center  General Information Name:  FORMTEXT       Mailing Address:  FORMTEXT       City/State/Zip:  FORMTEXT       Home Phone:  FORMTEXT       Cell Phone:  FORMTEXT       Email Address:  FORMTEXT       Are you 18 or older?  FORMCHECKBOX  yes  FORMCHECKBOX  no  Experience: Have you had any previous experience working with middle school students?  FORMCHECKBOX  yes  FORMCHECKBOX  no If yes, please explain briefly:  FORMTEXT       Have you had any previous experience leading recreational  X Y Z o u v ˾˴Տi\OBh/Vhhd4CJOJQJh/VhhciFCJOJQJh/VhhLCJOJQJ,jh/VhhLCJOJQJUmHnHuh/Vhh\.l0JCJOJQJ'jh/Vhh\.lCJOJQJU!jh/Vhh\.lCJOJQJUh/VhCJOJQJh/Vhh/VhCJOJQJh\.lCJOJQJh/Vhh\.lCJOJQJh/Vhh\.lCJOJQJaJh/Vhh\.lCJ!OJQJaJ!  EFGv|  W X Z n o   gd $`a$gd\.l$a$gd\.l`gd\.lgd\.l$"  > @ T V X b d l ھڱڱھځڱmھڱ`O`!jh/VhhciFCJOJQJUh/VhhciFCJOJQJ'jh/Vhh\.lCJOJQJUh/Vhh\.lCJOJQJaJ'jCh/Vhh\.lCJOJQJUh/Vhho7CJOJQJh/Vhh\.lCJOJQJ7jh/Vhh\.lCJOJPJQJU^JmHnHo(u!jh/Vhh\.lCJOJQJU'jh/Vhh\.lCJOJQJU > @    , .  b d 24pgdgdLgd\.lgd   , . 0 : < > ^ ` t v x ڶuhhTEh/VhhciFCJOJQJaJ'jh/Vhh%SCJOJQJUh/VhhciFCJOJQJ7jh/Vhh\.lCJOJPJQJU^JmHnHo(u'jh/Vhh\.lCJOJQJU!jh/Vhh\.lCJOJQJUh/Vhh\.lCJOJQJ,jh/VhhciFCJOJQJUmHnHu!jh/VhhciFCJOJQJU'j+h/Vhh%SCJOJQJU       * , ӿӫӔzm`mOm;Om'joh/VhhCJOJQJU!jh/VhhCJOJQJUh/VhhciFCJOJQJh/VhhCJOJQJh/VhhLCJOJQJh/Vhho7CJOJQJ,jh/VhhLCJOJQJUmHnHu'jh/Vhh\.lCJOJQJU'jh/Vhh\.lCJOJQJUh/Vhh\.lCJOJQJ!jh/Vhh\.lCJOJQJUh/Vhh\.lCJOJQJaJ    b d f z | ~ 46RTVbd}l_Kll_'jh/Vhhs7CJOJQJUh/Vhhs7CJOJQJ!jh/Vhhs7CJOJQJUU7jh/Vhh\.lCJOJPJQJU^JmHnHo(u'jWh/Vhh\.lCJOJQJU!jh/Vhh\.lCJOJQJUh/Vhh\.lCJOJQJ'jh/VhhCJOJQJUh/VhhCJOJQJ!jh/VhhCJOJQJU or athletic activities?  FORMCHECKBOX  yes  FORMCHECKBOX  no If yes, please explain briefly:  FORMTEXT       Please check the activities you are comfortable leading:  FORMCHECKBOX  basketball  FORMCHECKBOX  swimming  FORMCHECKBOX  dance  FORMCHECKBOX  weight training  FORMCHECKBOX  volleyball  FORMCHECKBOX  racquetball  FORMCHECKBOX  STEP  FORMCHECKBOX  tennis List other recreational or fitness activities that you would feel comfortable leading:  FORMTEXT       rt  ͼͨkWC'jh/Vhhs7CJOJQJU'jh/Vhhs7CJOJQJU'j'h/Vhhs7CJOJQJUh/Vhhs7CJOJQJ7jh/VhhCJOJPJQJU^JmHnHo(u'jh/VhhCJOJQJU!jh/VhhCJOJQJUh/VhhCJOJQJ!jh/Vhhs7CJOJQJU'j?h/Vhhs7CJOJQJUprb d F!H!J!!!""$"gdgdgdL   : < > d f !!!!!0!2!4!!!""p_K'j h/VhhCJOJQJU!jh/VhhCJOJQJU'jU h/Vhhs7CJOJQJU'j h/Vhhs7CJOJQJU'jk h/Vhhs7CJOJQJU'jh/Vhhs7CJOJQJUh/VhhCJOJQJ'jh/Vhhs7CJOJQJUh/Vhhs7CJOJQJ!jh/Vhhs7CJOJQJU""" """$"źh/Vhho7CJaJh/VhhLCJOJQJ7jh/VhhCJOJPJQJU^JmHnHo(u!jh/VhhCJOJQJU21h:p/ =!"#$% K 01h:p/Vh/ =!"#$% P0 5 01h:p\.l/ =!"#$% DyK  iivy@muw.eduyK @mailto:iivy@muw.eduyX;H,]ą'ctDText3tDText3tDText3tDText4tDText5tDText6tDeCheck1tDeCheck1tDeCheck1tDeCheck1tDText7tDeCheck2tDeCheck3tDText7tDeCheck4tDeCheck5tDeCheck6tDeCheck7tDeCheck8tDeCheck9vDeCheck10vDeCheck11tDText7@@@ \.lNormalCJ_HaJmH sH tH Z@Z  Heading 1$<@&5CJ KH OJQJ\^JaJ DA@D Default Paragraph FontRiR  Table Normal4 l4a (k(No List6U@6 ciF Hyperlink >*B*phHH L Balloon TextCJOJQJ^JaJGX , 4, , EFGv|WXZno!"EF34HI:;%&'~00000000000000000000000000000000000000000000000000000000000000WZno!"EF4HI:;%&~{00+{00{00{00{00{00@0{00@0{0 0@0{0  ,%y0 y0 @0{00 {00{00@0@0{00${00 {00 {00 @0@0{0 0 {00 {00 {00 @0{00{00{00{00{00{00{00  "$"  p$" $" u 1=C\ls 4@F;KZjw XFFFFFFG$G$G$G$FG$G$FG$G$G$G$G$G$G$G$F8@2(  HB  C DHB  C DB S  ?X!t!tText3Text4Text5Text6Check2Check3Check4Check5Check6Check7Check8Check9Check10Check112<[x   DLkorNX333333kkXXTS5$w}   >;GCz}H#H%5&(B12;4d4#657s77<]@SCciFtJBEKM>lOQ?T3\S` b h/VhXk\.l{m}4w6}"ex&+Wco7:XzZq,Eh%Uq_* .i.lL=L\9BFe %Sa96Q"@l*4@ UnknownGz Times New Roman5Symbol3& z Arial; Castellar=Calisto MTG5  hMS Mincho-3 fg5& zaTahoma"hffF  ٱ24d2QHX)?s7Crossroads Teacher ApplicationAcademic ComputingAcademic ComputingOh+'0, HT t    Crossroads Teacher ApplicationAcademic ComputingRec Leader Application.dotAcademic Computing2Microsoft Office Word@@B9@@՜.+,D՜.+,L hp|  MUW  Crossroads Teacher Application Title 8@ _PID_HLINKSA`%mailto:iivy@muw.edup   !"#$%&'()*+,-/012345789:;<=@Root Entry F0BData 1TableWordDocument,SummaryInformation(.DocumentSummaryInformation86CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q