The Real Estate Lab Program ApplicationPlease answer all questions Name * First Name Last Name Date MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Years Residing at Address: Years Living in Allentown: Date of Birth: MM DD YYYY Phone: (###) ### #### Email * Are you a citizen of the United States? * Yes No If no, are you authorized to work in the U.S.? Yes No Highest Level of Education Earned From MM DD YYYY To MM DD YYYY Did You Graduate Yes No GED If attended college, describe your degree: Describe anything else related to your education: Current Employment Company Adress Phone (###) ### #### Supervisor Job Title Responsibilities Length of Employment (Please explain if less than 2 years) May we contact your supervisor for a reference? Yes No Previous Employment Company Phone (###) ### #### Adress Supervisor Job Title Responsibilities Length of Employment (Please explain if less than 2 years) From MM DD YYYY To MM DD YYYY Reason For Leaving May we contact your previous supervisor for a reference? Yes No Short Answer Questions What motivated you to apply for this opportunity? Describe an example of when you went above and beyond in a job/project: Describe your involvement in community engagement activities/organizations in Allentown: Tell us about your greatest accomplishment to date: Describe your commitment to learning and self-improvement: Do you have familiarity with construction/renovation? If so, explain. If not, why are you interested in real estate in Allentown? (development, investment, revitalization, etc.) 2021 Availability MONDAY AM & PM: TUESDAY AM & PM: WEDNSDAY AM & PM: THURSDAY AM & PM: FRIDAY AM & PM: SATURDAY AM & PM: SUNDAY AM & PM: Disclaimer and Signature I certify that my answers are true and complete to the best of my knowledge. If this application leads to an opportunity to participate in the Entrepreneurship Program, I understand that false or misleading information in my application or interview may result in my release. * Today is: MM DD YYYY Thank you!