CenterStage Employee Intake Form Employee Information Employee Name * First Name Last Name SSN Date of Birth * MM DD YYYY Gender * Male Female Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Preferred Email * Phone Number * (###) ### #### Signature (Please read description before signing) * By placing your name and date below you are accepting the position that you're interested in the position that you have been chosen for and agree to provide the above information to the admin of CenterStage. First Name Last Name Date of Signature * MM DD YYYY Thank you for signing up for CenterStage Homeschool Pod Program!You will receive a response in 24 hours from our team! Thank you! CenterStage Staff
