MAGIC CARPET ACADEMY

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Welcome to Magic Carpet Academy!

Thank you for expressing your interest to be part of our team.

Position Applying For: *

First Name *

Last Name *

Middle Name *

Street Address *

City *

County *

State *

Zipcode *

Phone Number *

Email Address *

Date of Birth * +

Last 4 digits of SSN *

NC Driver's License Number *

Have you ever had an abuse or neglect or child maltreatment substantiation? *

If yes, give the date and explain fully. If no, write N/A. *

Have you ever been convicted of breaking a law other than a minor traffic violation? *

If yes, list county and state, give the date and explain fully. The offense(s) and how recently you were convicted will be evaluated in relation to the job for which you are applying. If no, write N/A. *