Spotlight Stark County Application

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We are looking for people ages 25-34 with unique qualities that will enrich and broaden the Spotlight Stark County experience. Our goal is to create a diverse class with participants from different careers, education level, geographic, racial, and ethnic backgrounds. Equally important will be a balance of gender, of those 'new-to-Stark County' and those who have never left or have 'boomeranged' back home. We want the Spotlight Stark County class to represent the rich diversity of greater Stark County. Please complete the application below by Friday, September 10, 2010. Applications will be accepted beginning July 15th through September 10th or until the class is filled. You must also complete and return the Confirmation of Employer Support & Tuition. A schedule of session dates is posted here

First Name
Last Name
Preferred First Name
Employer
Position/Title

Work Address
City
State
Zip Code
Phone Number
Fax Number

Home Address
City
State
Zip Code
School District of Residence
Phone Number

Cell Phone Number
Email Address

 

The following information is necessary to assure a diverse class.

How long have you lived in Stark County?

I have lived in Stark County for most of my life.
I have lived in Stark County for most of my life, but left for approximately 5 years to further my education or job opportunities.
I have lived in Stark County for less than 5 years.
Other

Highest Degree
Year Earned
College/University
Year of Birth
Gender Male | Female
Race African-American
Hispanic/Latino
Caucasian
Other
 

Do you require special accommodations? If yes, please explain:


 

In three sentences or less, please respond to ONE of the following questions:

  1. Please tell something interesting about yourself.
  2. What qualities would you bring to Spotlight Stark County?
  3. Why do you want to participate in Spotlight Stark County?

 

Please download and complete the Confirmation of Employer Support and Tuition. It must be returned, signed, to our office in order to participate. Download Confirmation of Employer Support and Tuition

If you wish to apply for tuition assistance please download, complete, and return this form. Download Tuition Assistance Request