Fall Internship - Children s Zoo

Size: px
Start display at page:

Download "Fall Internship - Children s Zoo"

Transcription

1 Fall Internship - Children s Zoo Organization: Location: Job or Internship: Rolling Hills Zoo (AZA Member) Salina, Kansas, United States of America Internship (unpaid) Rolling Hills Zoo is currently accepting applications from motivated applicants to participate in an unpaid internship with the children s zoo! This unique experience allows interns to work side-by-side with keepers, gain hands-on experience, and observe different training sessions. Under the direction of our Head Keeper, interns will provide daily care and management to zoo animals, animal training, enrichment, guest interaction, exhibit maintenance/design and other duties as assigned. This opportunity allows interns to work with our children s zoo & education animal collection, including birds of prey, sheep, goats, and a variety of small mammals! Candidates interested in this position should be self-motivated, dependable, have a positive attitude, and problem solving abilities. This internship program is designed to allow interns to learn: Diet preparations & feeding Exhibit maintenance for various areas, per AZA regulations Animal observations Animal training The development of animal enrichment and assessment Proper care and nutrition for the animals in their area Informal & formal guest interactions through keeper talks, demonstrations, education programs, etc. Requirements: Schedule: Applicant must be at least 18 years old and able to pass a background check. Have a tetanus shot and negative TB test. Must be enrolled in college and supply RHZ with a letter of intent from a professor, or have graduated in the past 6 months. Applicants must be able to work in different weather environments, be comfortable with walking, lifting (must be able to lift at least 50+ lbs.), and time outdoors. Physical exertion includes repetitive motions and climbing on a regular basis. Must be able to work both as a team member and independently. General knowledge of livestock & domestic species and coursework in biology/zoology are preferred but not required. Interns are required to work with the keeper(s) of their area to create and assess an original enrichment device. A one-time fee of $30 is required to offset the cost of the intern uniform shirt, application processing, nametag and training materials. Interns are expected to commit to a 3-12 month program. Interns will have a Friday- Monday schedule working from 7:00a.m.-6:00 p.m. Rolling Hills Zoo is open 364 days a year; consequently, interns may be schedule to participate on holidays.

2 College Credit: We will work with your college/university to offer college credit, however it is your responsibility to arrange this. We will provide any documentation your school requires for credit hours. To Apply: We are accepting applications until July 31, Successful applicants must start by Friday, August 21 st. To submit an application, please visit our website: Applicants must also submit a resume, cover letter, and references. Complete the Intern Application and submit to Melissa Mahoney at volunteer@rollinghillszoo.org or mail to Rolling Hills Zoo 625 N. Hedville Rd. Salina, Kansas Call Melissa with any questions at ext. 153.

3 Animal Husbandry Internship-Children s Zoo Rolling Hills Zoo Purpose: To fulfill the needs of a student desiring internship credit while gaining real-world experience in the field of Zoo Keeping. Objectives: - To fill a niche for students requiring or aspiring to receive college credit and experience. - To provide animal care in the designated area of the zoo on a regularly scheduled basis (to be determined at the time of application and dependent upon school requirements). - To educate students in proper and thorough care of animals in an AZA accredited institution. - To maintain exemplary animal care and enrichment. - To create an animal specific project to further the education of the student to be determined by the Curator, Assistant Curator and Head Keeper. To qualify, the student must meet the following requirements: - Be at least 18 years old - Must fill out a volunteer application - Must be able to pass a background check - Must be enrolled in an accredited college or university and present a letter of intent from their professor - Must have a current tetanus vaccine and a negative TB test - Must go through volunteer training with the Volunteer Department to include basic animal handling - Must have reliable transportation - Must be able to adhere to the uniform and appearance policy - Must be able to stand for long periods - Be able to lift 50+ lbs. - Must understand this position will require working indoors and out and in possible weather extremes Please be aware: - This internship receives the benefits of a volunteer position. It should not be misconstrued as having paid staff benefits, responsibilities or privileges unless otherwise authorized. - This internship is contingent upon fulfillment of requested duties while adhering to RHZ policies and the student may be dismissed with proper documentation. - It must be understood that above requirements are necessary but the intern must be flexible with requests made by staff members regarding animal care and the intern project. Student Signature Printed Name Date Date 625 N. Hedville Rd. Salina, KS ext. 117

4 CHILDREN S ZOO INTERNSHIP APPLICATION Name: Home Address: City: State: Zip: Phone: Best for Correspondence: College/University Attending: City: State: Major: Minor: Faculty Advisor: Phone: Year in School (circle): FR SO JR SR GRAD Other: Your College/University Schedule: Semesters Trimesters Other Relevant Coursework and Experience: (Please use more space if needed): Do you expect to receive credit for this Internship? Yes No Proposed Dates of Internship: From To Year Do you know of any restrictions on your availability? Which Internship are you applying for? 1 st Choice: 2 nd : Background checks are conducted for all potential interns. Please enclose: Cover Letter (addressed to Volunteer Coordinator ) Resume Send these documents to: Volunteer Coordinator RHZ 625 N. Hedville Rd. Salina, Kansas 67401

5 Background Check Have you ever been convicted of violating any laws other than minor traffic offenses? Have you ever been found guilty of, or are currently under investigation for violating wildlife regulations enacted by any of the various states, any Agency of the US Government, or those of a foreign nation? Yes No If yes, please explain: I authorize Rolling Hills Zoo to conduct an investigation into my background to the fullest extent allowed by law including, but not limited to the following investigations: Motor Vehicle Check DL# State Criminal Background Check Employment History Check I release all parties from liability for any damage that may result from furnishing such information. I acknowledge that any information discovered as a result of these investigations may prevent my being accepted into the volunteer program. I certify that the facts contained in this application are true and complete to the best of my knowledge and understand if accepted into the volunteer program, falsified statements or an omission of pertinent information of this application shall be grounds for dismissal at any time from the intern program. Date: Signature: Character references: 2 adults, not relatives you have known for at least one year Name Years known Relationship Phone # Cell # Address City & State Name Years known Relationship Phone # Cell # Address City & State Authorization to Release Information This is to inform you that, as part of considering you for interning with Rolling Hills Zoo, we may obtain all information relevant from all sources of education, employment, motor vehicle, criminal history, and personal character. All information obtained will be in accordance with the Americans with Disabilities Act, labor and wage records etc., or any part thereof. Rolling Hills Zoo complies with the Fair Credit Reporting Act, which provides consumers with rights regarding investigative consumer reports and places specific obligations on employers using consumer reports. I authorize any duly authorized agent to obtain records, whether the said records are public or private, and including those, which may be deemed to be privileged or confidential in nature, and I release all persons from liability on account of such enclosures. I authorize, without reservation, any party or agency contacted by a duly authorized agent to furnish the above-mentioned information. Rolling Hills Zoo will not request a consumer report without a signed authorization. I have a right to request to the agency, upon proper identification, the nature and substance of all information in my files including sources of information, and the recipients of any of my reports, which the agency has furnished within a twoyear period preceding my request.

6 I have read the above information regarding Rolling Hills Zoo requesting a consumer report, and by my signature below, I give my consent to Rolling Hills Zoo to obtain an investigative consumer report from a duly authorized agent and/or any of their licensed agents. I understand and agree that any omission, false or misleading statement, or answer made by me on my application, any supplements, and/or interviews will be sufficient grounds for rejection from the Volunteer Program. I understand that in order to aid in the proper identification of my file or a record, the following information is necessary: Print Name: Social Security Number: - - Driver s License Number: State Issued: Date of Birth: (Month) (Day) (Year) Current Address: City/State/Zip: Applicant Signature: Date:

Washington Park Zoo Animal Care Internship Program

Washington Park Zoo Animal Care Internship Program Zoo Animal Care Internships The Washington Park Zoo is seeking dedicated and enthusiastic interns to work alongside Zoo Staff to assist in nurturing the animal collection. Interns are involved in various

More information

Discovery Guide Program

Discovery Guide Program BRONX ZOO EDUCATION DEPARTMENT S Discovery Guide Program To The Applicant: Becoming a Bronx Zoo Discovery Guide can be an exciting and rewarding experience. As a Guide, you will serve an important role

More information

Telephone Long Distance Digital Cable TV High Speed Internet Networking APPLICATION FOR EMPLOYMENT. Last First Middle. Number Street City State Zip

Telephone Long Distance Digital Cable TV High Speed Internet Networking APPLICATION FOR EMPLOYMENT. Last First Middle. Number Street City State Zip 21668 Double Arch Road PO Box 29 Staunton, IL 62088 Phone (618) 635-3214 Fax (618) 635-7213 www.gomadison.com Telephone Long Distance Digital Cable TV High Speed Internet Networking APPLICATION FOR EMPLOYMENT

More information

WE REQUIRE BACKGROUND CHECKS AND DRUG TESTING FOR MOST POSITIONS. PLEASE INITIAL TO THE PERMISSION TO COMPLETE A BACKGROUND CHECK AND DRUG TEST:

WE REQUIRE BACKGROUND CHECKS AND DRUG TESTING FOR MOST POSITIONS. PLEASE INITIAL TO THE PERMISSION TO COMPLETE A BACKGROUND CHECK AND DRUG TEST: Mild to Wild Rafting and Jeep Trail Tours, Inc. 50 Animas View Dr. Durango, CO 81301 800-567-6745 www.mild2wildrafting.com Fax: 970-382-0545 APPLICATION FOR EMPLOYMENT DATE OF APPLICATION: WE REQUIRE BACKGROUND

More information

Docent Program. New York Aquarium Education Department s. To The Applicant:

Docent Program. New York Aquarium Education Department s. To The Applicant: New York Aquarium Education Department s Docent Program To The Applicant: Becoming a New York Aquarium Docent can be an exciting and rewarding experience. As a docent, you will serve an important role

More information

Camp Employment Application. Name Date of Application: Best Number to reach you: this is a home / work / cell number

Camp Employment Application. Name Date of Application: Best Number to reach you: this is a home / work / cell number FOR OFFICE USE ONLY Date App Rcd Ref #1 Rcd Ref #2 Rcd Ref #3 Rcd Interview Date Notes Camp Employment Application Please bring a current photo to your interview to be used for identification purposes.

More information

Must not have any health issues that can be Zoonotic or prevent job performance

Must not have any health issues that can be Zoonotic or prevent job performance INTERNSHIP INFORMATION: Are you a student enrolled in an animal related college curriculum and would like to gain experience in exotic animal care? Dade City s Wild Things is accepting applications for

More information

COLLEGE VOLUNTEER APPLICATION

COLLEGE VOLUNTEER APPLICATION COLLEGE VOLUNTEER APPLICATION Volunteer Services Telephone Number (813)615-7286 TODAY S DATE: / / MALE FEMALE NAME: LAST FIRST MIDDLE NICKNAME ADDRESS: STREET City STATE ZIP CODE PERMANENT ADDRESS EMAIL:

More information

Please Print in Ink or Type NOTE: Some positions may require a TB Test and/or Tetanus Shot. Present Address -

Please Print in Ink or Type NOTE: Some positions may require a TB Test and/or Tetanus Shot. Present Address - An Equal Opportunity Employer Where did you learn about our Job Openings? Zoo Employment Web Page Family Member Friend College Employment Web Page College Job Fair Craig s List Radio Announcement Zoo News

More information

Address. City/State/Zip. Year of Graduation. Past Present Employer Position held Type of Business Supervisor Contact:

Address. City/State/Zip. Year of Graduation. Past Present Employer Position held Type of Business Supervisor Contact: PROSPECT PARK ZOO Volunteer Application for Teens and College Students (Please Print) Mail completed application to: Prospect Park Zoo, Volunteer Coordinator, Education Department, 450 Flatbush Avenue,

More information

DEPARTMENT OF SOCIAL WORK College of Health Sciences University of Texas at El Paso El Paso, TX

DEPARTMENT OF SOCIAL WORK College of Health Sciences University of Texas at El Paso El Paso, TX HOW IT WORKS DEPARTMENT OF SOCIAL WORK College of Health Sciences University of Texas at El Paso El Paso, TX BSW FIELD EDUCATION APPLICATION AND INSTRUCTIONS SOWK 4480/4490: SOCIAL WORK FIELD EDUCATION

More information

Snips in Historic Irvington Indicate Position Applied For:

Snips in Historic Irvington Indicate Position Applied For: Snips in Historic Irvington Indicate Position Applied For: 1. NAME (Last, First, Middle) 2. ADDRESS: (Number, Street, City, Zip Code) 3. TELEPHONE HOME: BUSINESS: 4. SOCIAL SECURITY NUMBER: 5. ARE YOU

More information

Toll Collection Attendant (part-time) Requirements:

Toll Collection Attendant (part-time) Requirements: Thank you for your interest in employment opportunities with the Richmond Metropolitan Authority. We always accept applications for current or anticipated part-time Toll Collection Attendant (TCA) positions.

More information

Volunteer Driver Application Form

Volunteer Driver Application Form Road to Recovery Volunteer Driver Application Form Please Print Name: Street Address: City State Zip: Other Address Information/ Email: Home Phone: Work Phone: Date of Birth: Occupation: Emergency Contact

More information

AN EQUAL OPPORTUNITY EMPLOYMENT APPLICATION

AN EQUAL OPPORTUNITY EMPLOYMENT APPLICATION AN EQUAL OPPORTUNITY EMPLOYMENT APPLICATION Please Print Date: Name: Last First Middle Home Phone: Cell Phone: Social Security #: Present Email : No. Street City State Zip Mailing (If Different) No. Street

More information

COLLEGE STUDENT Volunteer Application

COLLEGE STUDENT Volunteer Application COLLEGE STUDENT Volunteer Application Please print clearly. Incomplete applications cannot be considered. TODAY S DATE: / / MALE FEMALE Name: Local Address: LAST FIRST MIDDLE NICKNAME STREET City STATE

More information

Prospect Park Zoo Volunteer Program

Prospect Park Zoo Volunteer Program Alumni Office Room 1W9 Isaac Honor - Internship Coordinator bths.internship@gmail.com VOLUNTEER OPPORTUNITY #16 Prospect Park Zoo Volunteer Program The Prospect Park Zoo offers two ways to volunteer. As

More information

STOKER OILFIELD SERVICE EMPLOYMENT APPLICATION

STOKER OILFIELD SERVICE EMPLOYMENT APPLICATION STOKER OILFIELD SERVICE EMPLOYMENT APPLICATION Applicant Full Name Home Phone Cell Phone Email Address Current Address: Number and street City State & Zip How were you referred to Company?: Employment

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT An Equal Opportunity Employer All applicants are considered without regard to race, color, gender, religion, national origin, age, marital or veteran status, mental or physical

More information

Fall 2015 Admission Policies and Procedures Zoo and Aquarium Science (ZAS) Program

Fall 2015 Admission Policies and Procedures Zoo and Aquarium Science (ZAS) Program Fall 2015 Admission Policies and Procedures Zoo and Aquarium Science (ZAS) Program The deadline for consideration for a Fall 2015 ZAS is Friday, May 15, 2015. Admissions policies and procedures are subject

More information

Human Resources Department

Human Resources Department Human Resources Department APPLICANT NAME: JOB TITLE: TO: FROM: SUBJECT: APPLICANTS FOR EMPLOYMENT WITH THE CITY OF CLINTON THE HUMAN RESOURCES STAFF APPLICATION PROCESS The application process with the

More information

TOWN OF POUGHKEEPSIE POLICE DEPARTMENT

TOWN OF POUGHKEEPSIE POLICE DEPARTMENT TOWN OF POUGHKEEPSIE POLICE DEPARTMENT INFORMATION PACKET OVERVIEW The Town of Poughkeepsie Police Department is seeking to provide an innovative program for youth residing in the Town of Poughkeepsie.

More information

RN to BSN Completion Option Application for Admission

RN to BSN Completion Option Application for Admission RN to BSN Completion Option Application for Admission APPLICATION FOR ADMISSION RN to BSN Completion Option Welcome to Bryan College of Health Sciences! Please complete this application to be considered

More information

Ritter Plumbing Co., Inc. Application for Employment (An Equal Opportunity Employer)

Ritter Plumbing Co., Inc. Application for Employment (An Equal Opportunity Employer) Ritter Plumbing Co., Inc. Application for Employment (An Equal Opportunity Employer) In compliance with Federal and State equal employment opportunity laws, Ritter Plumbing Co., Inc does not discriminate

More information

Pharmacy Technology. Application Package January 2012

Pharmacy Technology. Application Package January 2012 Pharmacy Technology Application Package January 2012 3000 Campus Hill Drive Livermore, CA 94551 925-424-1354 www.laspositascollege.edu/healthsciences Las Positas College Pharmacy Technology Program Application

More information

HOW TO APPLY FOR A JOB AT SKY ZONE RIVERSIDE

HOW TO APPLY FOR A JOB AT SKY ZONE RIVERSIDE HOW TO APPLY FOR A JOB AT SKY ZONE RIVERSIDE Thank you for your interest in employment at Sky Zone Riverside! We are always seeking quality candidates to fulfill roles as Cashier, Court Monitor, Party

More information

Intern / Co-Op Employment Application

Intern / Co-Op Employment Application 3400 Players Club Parkway, Suite 210 Memphis, Tennessee 38125 Intern / Co-Op Employment Application It is the policy of Pinnacle Agriculture Holdings, LLC and its subsidiaries (Pinnacle Agriculture Holdings,

More information

We are excited to help you through the process to become a volunteer here at Northside Hospital Cherokee and look forward to meeting you soon.

We are excited to help you through the process to become a volunteer here at Northside Hospital Cherokee and look forward to meeting you soon. Dear Prospective Volunteer: Thank you for your interest in the volunteer program at Northside Hospital Cherokee. We are proud of the volunteer services here at Northside Cherokee. Our members are from

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT IMPORTANT: It is the policy of the Village of Plymouth to provide equal opportunity with regard to all terms and conditions of employment. The Village complies with federal and state laws prohibiting discrimination

More information

CLIPPER COURIER LOGISTICS SUMMARY FOR INDEPENDENT CONTRACTORS

CLIPPER COURIER LOGISTICS SUMMARY FOR INDEPENDENT CONTRACTORS CLIPPER COURIER LOGISTICS SUMMARY FOR INDEPENDENT CONTRACTORS CLIPPER COURIER LOGISTICS, INC. REQUIREMENTS: 1. INSURANCE COVERAGES MUST MEET OR EXCEED THESE MINIMUMS AND COPIES OF THE DECLARATION PAGE

More information

Nursing Assistant I Admission Requirements

Nursing Assistant I Admission Requirements Nursing Assistant I Admission Requirements 1. High School Diploma, GED or College Transcripts 2. Driver s License or State ID 3. Social Security Card 4. Physical Examination 5. Criminal Background Check

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT Dallas Summer Musicals/DSM Management Group is committed to providing equal opportunity in all employment practices, including but not limited to selection, hiring, promotion,

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION 301 Church Avenue, Knoxville TN 37915 APPLICANT INSTRUCTIONS: If you need assistance filling out this application form please contact KAT at (865) 215-7800. 1. Please read "APPLICANT NOTE" below. 2. Complete

More information

Accurate Answering Service, Inc 31511 Harper Avenue St. Clair Shores, MI 48082 586-296-4005. Welcome,

Accurate Answering Service, Inc 31511 Harper Avenue St. Clair Shores, MI 48082 586-296-4005. Welcome, Accurate Answering Service, Inc 31511 Harper Avenue St. Clair Shores, MI 48082 586-296-4005 Welcome, You have downloaded an application for employment at Accurate Answering Service, Inc. We use computers

More information

Application Information Please read the following before completing your application

Application Information Please read the following before completing your application Application Information Please read the following before completing your application Employment Policy The City of Suwanee is an Equal Opportunity Employer and does not discriminate on the basis of race,

More information

3100 East Fletcher Ave. Tampa, FL 33613 813-615-7286 fax: 813-615-7507 TAMVolunteer@ahss.org

3100 East Fletcher Ave. Tampa, FL 33613 813-615-7286 fax: 813-615-7507 TAMVolunteer@ahss.org College Student 3100 East Fletcher Ave. Tampa, FL 33613 Volunteer Application Volunteer opportunities are offered without regard to religion, creed, race, national origin, age or gender. PLEASE PRINT CLEARLY.

More information

Mississippi Security Police Inc. 3003 Pascagoula Street Pascagoula, MS 39567 228.762.0661 228.769.5583 fax

Mississippi Security Police Inc. 3003 Pascagoula Street Pascagoula, MS 39567 228.762.0661 228.769.5583 fax Mississippi Security Police Inc. 3003 Pascagoula Street Pascagoula, MS 39567 228.762.0661 228.769.5583 fax Dear Applicant: Please comply with the following requirements. Please review qualifications and

More information

APPLICANT INSTRUCTIONS

APPLICANT INSTRUCTIONS APPLICANT INSTRUCTIONS Thank you for your interest in employment with our Company. We appreciate your application, and look forward to the possibility of you joining our team. This sheet is for your information.

More information

Driver s Application for Employment Applicants will be tested for illegal drugs

Driver s Application for Employment Applicants will be tested for illegal drugs Driver s Application for Employment Applicants will be tested for illegal drugs 10367 Randleman Road Randleman, NC 27317 (336) 498-9000 FAX: (336) 498-2204. ApplicantName: Date: _ In compliance with Federal

More information

Internship/Externship Application

Internship/Externship Application Internship/Externship Application Name (Last) (First) (M) Address City State Zip Phone # E-mail Mailing Address (if different from home address): Address City State Zip Program (please select one): Internship

More information

POSITION ANNOUNCEMENT

POSITION ANNOUNCEMENT Ch ildren's Community Clinic 27 rtheast Killingsworth Street Portland, Oregon 97211 Phone: 503.284.5239 Fax : 503.284.9162 POSITION ANNOUNCEMENT Children's Community Clinic is looking for a great Medical

More information

CITY OF SALINA MUNICIPAL COURT DIVERSION INFORMATION AND APPLICATION

CITY OF SALINA MUNICIPAL COURT DIVERSION INFORMATION AND APPLICATION CITY OF SALINA MUNICIPAL COURT DIVERSION INFORMATION AND APPLICATION A diversion is a written agreement between the City Prosecutor and the defendant. During the diversion period, the prosecutor agrees

More information

INTERNSHIP OPPORTUNITIES

INTERNSHIP OPPORTUNITIES INTERNSHIP OPPORTUNITIES Criminal Justice Program, 3229 Sangren Hall Kalamazoo, Michigan 49008 Dr. Ron Kramer, Director; Ann P. Browning, Office Assistant, 3233 Sangren (Phone: 269-387-5271) The Criminal

More information

BACKGROUND CHECK POLICY UNIVERSITY POLICY

BACKGROUND CHECK POLICY UNIVERSITY POLICY BACKGROUND CHECK POLICY UNIVERSITY POLICY Purpose: Roger Williams University and Roger Williams University School of Law (collectively referred to as the University ) established this Background Check

More information

Chicago Semester Information

Chicago Semester Information Chicago Semester Information Students who wish to student teach in an urban setting, may find the perfect opportunity in Chicago. Hope College is part of a consortium of colleges (Chicago Semester) that

More information

Once you have read this page, please remove it from the application and keep for your personal reference.

Once you have read this page, please remove it from the application and keep for your personal reference. WELCOME TO NATIONAL CENTER ON INSTITUTIONS AND ALTERNATIVES (NCIA) As you consider a career with NCIA and to gain a better understanding of our agency, please take few minutes to read the following information.

More information

Dear Internship Candidate,

Dear Internship Candidate, Dear Internship Candidate, Thanks for your interest in becoming a part of the team here at the WNC Nature Center, a part of the City of Asheville's Parks, Recreation and Cultural Arts Department. With

More information

Volunteer Intern/Clerk Applications. Academic Status. Undergrad Graduate Student Law Student (1L) (2L) (3L) (Circle One) Application Term

Volunteer Intern/Clerk Applications. Academic Status. Undergrad Graduate Student Law Student (1L) (2L) (3L) (Circle One) Application Term OFFICE OF THE STATE S ATTORNEY COOK COUNTY, ILLINOIS ANITA ALVAREZ 69 W. Washington, Suite 3200 STATE S ATTORNEY Chicago, Illinois 60602 Volunteer Intern/Clerk Applications Academic Status Undergrad Graduate

More information

PERSONAL DATA AVAILABILITY

PERSONAL DATA AVAILABILITY EMPLOYMENT APPLICATION SwimAmerica: 1205 N. Willow Clovis, CA 93619 Phone: 559-324-7946 Fax: 559-322-0705 TumbleAmerica: 1305 N. Willow #150 Clovis, CA 93619 TWO CHARACTER REFERENCES ARE REQUIRED FOR EMPLOYMENT

More information

Social Work Department

Social Work Department Social Work Department BACHELOR OF SOCIAL WORK DEGREE PROGRAM Application For Admission Application Date Application for (Semester) (Year) Personal Information: Name Home Address City State ZIP Home Phone

More information

EASTER SEALS REHABILITATION CENTER SERVICES

EASTER SEALS REHABILITATION CENTER SERVICES EASTER SEALS REHABILITATION CENTER SERVICES The Easter Seals Rehabilitation Center provides a wide range of services to enhance the independence of children and adults with disabilities and special needs

More information

TOWN OF ELLINGTON 55 Main Street P. O. Box 187 Ellington, Connecticut 06029-0187 www.ellington-ct.gov APPLICATION FOR EMPLOYMENT

TOWN OF ELLINGTON 55 Main Street P. O. Box 187 Ellington, Connecticut 06029-0187 www.ellington-ct.gov APPLICATION FOR EMPLOYMENT TOWN OF ELLINGTON 55 Main Street P. O. Box 187 Ellington, Connecticut 06029-0187 www.ellington-ct.gov APPLICATION FOR EMPLOYMENT Position applied for: You must fill out this application completely even

More information

OFFICE OF THE DISTRICT ATTORNEY Third Judicial District Of Kansas Chadwick J. Taylor, District Attorney

OFFICE OF THE DISTRICT ATTORNEY Third Judicial District Of Kansas Chadwick J. Taylor, District Attorney OFFICE OF THE DISTRICT ATTORNEY Third Judicial District Of Kansas Chadwick J. Taylor, District Attorney Shawnee County Courthouse Fax: (785) 251-4909 200 SE 7th Street, Suite 214 Family Law Fax: (785)

More information

BEXAR APPRAISAL DISTRICT 411 NORTH FRIO, SAN ANTONIO, TEXAS 78207 APPLICATION FOR EMPLOYMENT

BEXAR APPRAISAL DISTRICT 411 NORTH FRIO, SAN ANTONIO, TEXAS 78207 APPLICATION FOR EMPLOYMENT BEXAR APPRAISAL DISTRICT 411 NORTH FRIO, SAN ANTONIO, TEXAS 78207 APPLICATION FOR EMPLOYMENT BEXAR APPRAISAL DISTRICT IS AN EQUAL OPPORTUNITY EMPLOYER Applicants are considered for all positions without

More information

MedEx Medical Transport Services, Inc. 902 East Memorial Drive PO Box 506 Ahoskie, NC 27910 (252) 332-4555

MedEx Medical Transport Services, Inc. 902 East Memorial Drive PO Box 506 Ahoskie, NC 27910 (252) 332-4555 MedEx Medical Transport Services, Inc. 902 East Memorial Drive PO Box 506 Ahoskie, NC 27910 (252) 332-4555 03-01-2011 Dear Applicant, MedEx would like to thank you in advance for considering employment

More information

Employment Application

Employment Application Employment Application 3400 Players Club Parkway, Suite 210 Memphis, Tennessee 38125 It is the policy of Pinnacle Agriculture Holdings, LLC and its subsidiaries (Pinnacle Agriculture Holdings, LLC and

More information

CAMERON FOUNDATION CHEMICAL DEPENDENCY FELLOWSHIP PROGRAM. Counselor Intern Training Program. Information For Applicants

CAMERON FOUNDATION CHEMICAL DEPENDENCY FELLOWSHIP PROGRAM. Counselor Intern Training Program. Information For Applicants CAMERON FOUNDATION CHEMICAL DEPENDENCY FELLOWSHIP PROGRAM Counselor Intern Training Program Information For Applicants Memorial Hermann Prevention and Recovery Center 3043 Gessner Houston, Texas 77080

More information

Bennett County Hospital and Nursing Home

Bennett County Hospital and Nursing Home Bennett County Hospital and Nursing Home EMPLOYMENT APPLICATION Name: Position(s) Applying For: APPLICANT INFORMATION Bennett County Hospital and Nursing Home EMPLOYMENT APPLICATION Last Name First M.I.

More information

WYOMING RENTS, LLC APPLICATION FOR EMPLOYMENT DRUG AND ALCOHOL-FREE WORK PLACE

WYOMING RENTS, LLC APPLICATION FOR EMPLOYMENT DRUG AND ALCOHOL-FREE WORK PLACE WYOMING RENTS, LLC APPLICATION FOR EMPLOYMENT DRUG AND ALCOHOL-FREE WORK PLACE People at this company want a safe and healthy place to work. Illegal drugs are wrong! There is no place here for them or

More information

4169 PRUDEN BLVD. SUFFOLK VA 23434 (757) 925-5651 FAX (757) 925-5639 WEBSITE: www.prudencenter.net APPLICATION FOR PROFESSIONAL EMPLOYMENT

4169 PRUDEN BLVD. SUFFOLK VA 23434 (757) 925-5651 FAX (757) 925-5639 WEBSITE: www.prudencenter.net APPLICATION FOR PROFESSIONAL EMPLOYMENT 4169 PRUDEN BLVD. SUFFOLK VA 23434 (757) 925-5651 FAX (757) 925-5639 WEBSITE: www.prudencenter.net APPLICATION FOR PROFESSIONAL EMPLOYMENT Applicant s Full Name LAST FIRST MI MAIDEN NAME Other Name(s)

More information

DRIVER EMPLOYMENT APPLICATION Name (first, middle, last) Date: Hire Date (office use only) New Hire Re-Hire Position Applying For: Full Time Part Time

DRIVER EMPLOYMENT APPLICATION Name (first, middle, last) Date: Hire Date (office use only) New Hire Re-Hire Position Applying For: Full Time Part Time DRIVER EMPLOYMENT APPLICATION Name (first, middle, last) : Hire (office use only) New Hire Re-Hire Position Applying For: Full Time Part Time You must list Address (street, city, state, zip code) all previous

More information

Town of LaSalle. Employment Application

Town of LaSalle. Employment Application Town of LaSalle Employment Application Town of LaSalle, Colorado Employment Application AN EQUAL OPPORTUNITY EMPLOYER It is our policy to comply fully with all federal, state and local equal employment

More information

INDIANAPOLIS JEWISH HOME, INC. ("HOOVERWOOD")

INDIANAPOLIS JEWISH HOME, INC. (HOOVERWOOD) INDIANAPOLIS JEWISH HOME, INC. ("HOOVERWOOD") APPLICATION FOR EMPLOYMENT Indianapolis Jewish Home, Inc. ("Hooverwood") is an equal opportunity employer. Applicants are considered for employment without

More information

Please type or print clearly and return to the Internship Director. STUDENT NAME: College ID# DOB. Street. City State Zip Code CAMPUS EMAIL ADDRESS:

Please type or print clearly and return to the Internship Director. STUDENT NAME: College ID# DOB. Street. City State Zip Code CAMPUS EMAIL ADDRESS: CRIMINAL JUSTICE DEPARTMENT AT SAINT ANSELM COLLEGE Please type or print clearly and return to the Internship Director STUDENT NAME: _College ID# DOB PERMANENT HOME ADDRESS: Street City _State_Zip Code

More information

Application for Employment

Application for Employment 14 Bridge St. 50 Venner Road 219 Sacandaga Road Fonda, NY 12068 Amsterdam, NY 12010 Scotia, NY 12302 (518) 853-8571 8571 (518) 842-0092 0092/ / (518) 843-4700 4700 (518) 393-6634 Application for Employment

More information

Pre-Interview Information Sheet Please Return the following Via email to Director of Student Teaching Joan Peterson Littman (jlittman@marygrove.

Pre-Interview Information Sheet Please Return the following Via email to Director of Student Teaching Joan Peterson Littman (jlittman@marygrove. Dear Student, Thank you for requesting an application package. Included are several documents to facilitate your application process. Our department looks forward to celebrating this final program step

More information

Career Opportunity Department of Labor and Industrial Relations State of Hawaii Executive Branch

Career Opportunity Department of Labor and Industrial Relations State of Hawaii Executive Branch Career Opportunity Department of Labor and Industrial Relations State of Hawaii Executive Branch VACANCY ANNOUNCEMENT WORKERS COMPENSATION HEARINGS OFFICER V SR- 26 / OAHU Salary: $4,810 monthly Opening

More information

EMPLOYMENT APPLICATION. Position(s) for which you are applying: Date: Personal Information. Legal Name: Last First Middle Maiden.

EMPLOYMENT APPLICATION. Position(s) for which you are applying: Date: Personal Information. Legal Name: Last First Middle Maiden. Effort Christian School and Preschool A ministry of Effort Baptist Church 7829 Thomas Jefferson Parkway Palmyra, Virginia 22963 434-589-8962 www.effortchristianschoolandpreschool.com Your interest in Effort

More information

Work-Study Internship Application

Work-Study Internship Application TM Public Service Corps Work-Study Internship Application 1 Centre Street, Room 2435, New York, NY 10007 212-669-3684 212-669-3633 (fax) psc@dcas.nyc.gov nyc.gov/psc Department of Citywide Administrative

More information

How to Apply for the AmeriCorps Program

How to Apply for the AmeriCorps Program PLEASE PRINT USING BLUE OR BLACK INK Date: 5/4/ PERSONAL PROFILE ***All positions are for one year (September 1, to August 16, 2016). You must be able to complete the full year of service to receive educational

More information

CITY OF JERSEY VILLAGE, TEXAS

CITY OF JERSEY VILLAGE, TEXAS AN EQUAL OPPORTUNITY EMPLOYER APPLICATION FOR EMPLOYMENT CITY OF JERSEY VILLAGE, TEXAS 16501 Jersey Drive Jersey Village, Texas 77040 STATEMENT Please write legibly, or type, and use black ink. Answer

More information

Dental Assistant Application Checklist

Dental Assistant Application Checklist New Jersey Office of the Attorney General Division of Consumer Affairs New Jersey State Board of Dentistry 124 Halsey Street, 6th Floor, P.O. Box 45005 Newark, New Jersey 07101 (973) 504-6405 Dental Assistant

More information

Student Advocate Positions for 2007/2008

Student Advocate Positions for 2007/2008 April 2, 2007 Dear Student: Student Advocate Positions for 2007/2008 The Portland Community College Sylvania Women s Resource Center is seeking students to participate in the Women s Resource Center Women

More information

Application for Employment

Application for Employment Application for Employment NETCARE CORPORATION 199 South Central Avenue Columbus, OH 43223 (614) 274-9500 Applicants are considered for all positions in accordance with statutes and regulations concerning

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT The Town of East Hampton is an equal opportunity employer and does not discriminate on the basis of race, religion, color, national origin, age, sex, gender, disability or any

More information

APPLICANTS OF FIRE FIGHTER/EMT

APPLICANTS OF FIRE FIGHTER/EMT APPLICANTS OF FIRE FIGHTER/EMT The documentation listed below must be completed, notarized, and stapled to the back of your employment application and returned to the Personnel Department. Applications

More information

Application for Consumer Finance License

Application for Consumer Finance License NC Office of the Commissioner of Banks Location: 316 W. Edenton Street, Raleigh, NC 27603 Mail Address: 4309 Mail Service Center, Raleigh, NC 27699-4309 Telephone: 919/733-3016 Fax: 919/733-6918 Internet:

More information

Employment Application

Employment Application Employment Application Please complete this application as completely and accurately as possible PERSONAL INFORMATION Today s Date Name: Last First Middle Social Security Number Address Home Telephone

More information

The University of Tennessee at Chattanooga 615 McCallie Avenue, Dept. 5305 Chattanooga, TN 37403 Counseling Program Application Checklist:

The University of Tennessee at Chattanooga 615 McCallie Avenue, Dept. 5305 Chattanooga, TN 37403 Counseling Program Application Checklist: The University of Tennessee at Chattanooga Counselor Education Program Clinical Mental Health Counseling M.Ed. and School Counseling M.Ed. Thank you for your interest in the Counseling program at the University

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION SPALDING COUNTY BOARD OF COMMISSIONERS 119 E. Solomon Street, P.O. Box 1087 Griffin, Georgia 30224 www.spaldingcounty.com EMPLOYMENT APPLICATION SPALDING COUNTY ONLY ACCEPTS APPLICATIONS FOR CURRENTLY

More information

2013 Sonoma County Fair TEMPORARY JOBS

2013 Sonoma County Fair TEMPORARY JOBS 2013 Sonoma County Fair TEMPORARY JOBS The Sonoma County Fair dates are July 25 th through August 11 th. If you are interested in one of the jobs described below and can commit to the three weeks, obtain

More information

INSTRUCTIONAL, PROFESSIONAL OR ADMINISTRATIVE STAFF APPLICATION

INSTRUCTIONAL, PROFESSIONAL OR ADMINISTRATIVE STAFF APPLICATION INSTRUCTIONAL, PROFESSIONAL OR ADMINISTRATIVE STAFF APPLICATION Position for which you are applying Please type or print clearly in ink. Complete all sections even if enclosing a resume. Please submit

More information

First Middle Last. Number and Street City State Zip Code Home Telephone # Work Telephone #

First Middle Last. Number and Street City State Zip Code Home Telephone # Work Telephone # EMPLOYMENT APPLICATION Fire Department City of Sterling, Colorado 421 N. 4 th St., P.O. Box 4000 Sterling, CO 80751-0400 Phone (970) 522-9700 FAX (970)521-0632 www.sterlingcolo.com An Equal Opportunity

More information

School of Nuclear Medicine Technology Application Application Deadline is January 30, 2010

School of Nuclear Medicine Technology Application Application Deadline is January 30, 2010 School of Nuclear Medicine Technology Application Application Deadline is January 30, 2010 PERSONAL INFORMATION (Please print clearly) Today s Date Name (in full) City, State and Zip Code Phone Number

More information

Office of the District Attorney Harris County, Texas

Office of the District Attorney Harris County, Texas Office of the District Attorney Harris County, Texas Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence

More information

EMPLOYMENT APPLICATION Human Resources Office City of Clayton * 10 N. Bemiston * Clayton, Missouri 63105. (City, State & Zip)

EMPLOYMENT APPLICATION Human Resources Office City of Clayton * 10 N. Bemiston * Clayton, Missouri 63105. (City, State & Zip) EMPLOYMENT APPLICATION Human Resources Office City of Clayton * 10 N. Bemiston * Clayton, Missouri 63105 SECTION 1: GENERAL INFORMATION [ Please print or type ] Position(s) of Interest: Name: Social Security

More information

Department of Social Work 2015. California State University, Bakersfield. Application for Admission. Master of Social Work Program

Department of Social Work 2015. California State University, Bakersfield. Application for Admission. Master of Social Work Program California State University, Bakersfield Department of Social Work 2015 Application for Admission Master of Social Work Program Thank you for your interest in the MSW program at California State University,

More information

APPLICATION FOR POLICE OFFICER

APPLICATION FOR POLICE OFFICER APPLICATION FOR POLICE OFFICER For Jasper Police Officer applications you must also submit the following : Three letters of recommendation (none accepted from current city employees) Each letter must contain

More information

GRADUATE DEGREE PROGRAMS

GRADUATE DEGREE PROGRAMS GRADUATE DEGREE PROGRAMS International Application For Admission 5700 College Road, Lisle, Illinois 60532 International Programs and Services Office Phone: (630) 829-1159 Outside Illinois: (888) 829-6363

More information

CITY OF SOUTH SALT LAKE APPLICATION FOR EMPLOYMENT

CITY OF SOUTH SALT LAKE APPLICATION FOR EMPLOYMENT CITY OF SOUTH SALT LAKE APPLICATION FOR EMPLOYMENT Position applying for: Date: PERSONAL INFORMATION Name: First Middle Last Address: Number/Street City State Zip Telephone # Home: Cell: E-mail address:

More information

2016-2017 San Diego State University CHEER TRYOUT INFORMATION PACKET

2016-2017 San Diego State University CHEER TRYOUT INFORMATION PACKET 2016-2017 San Diego State University CHEER TRYOUT INFORMATION PACKET Welcome to the San Diego State University Athletic Department, and thank you for your interest in the San Diego State University Cheerleading

More information

Application Checklist

Application Checklist Application Checklist POSITION APPLIED FOR: Indian Preference shall not be claimed without proof. Submitted applications without copies of verification documents, unanswered questions, omitted dates, omitted

More information

Licensed Practical Nurse Program Application Form

Licensed Practical Nurse Program Application Form Directions: HARMONY HEALTH CARE INSTITUTE, INC Licensed Practical Nurse Program Application Form Please Type or Print using black ink. A Bank Check or Money Order of $350.00 made payable to Harmony Health

More information

Nelles Nurse Scholarship Program Application

Nelles Nurse Scholarship Program Application Nelles Nurse Scholarship Program Application This program will provide recognition and financial support to student nurses annually in an effort to set the highest healthcare quality benchmarks, and retain

More information

Eastern Region HR Great Circle 330 North Gore Webster Groves, MO 63119 Phone: (314)968-2060 Fax: (314)968-8308 Email: Rebecca.Brenner@greatcircle.

Eastern Region HR Great Circle 330 North Gore Webster Groves, MO 63119 Phone: (314)968-2060 Fax: (314)968-8308 Email: Rebecca.Brenner@greatcircle. Please mail, email or fax your application to one or more of the following locations, according to which job(s) or location(s) you are interested in joining. Eastern Region HR 330 North Gore Webster Groves,

More information

Department of Social Work 2014. California State University, Bakersfield. Application for Admission. Master of Social Work Program

Department of Social Work 2014. California State University, Bakersfield. Application for Admission. Master of Social Work Program California State University, Bakersfield Department of Social Work 2014 Application for Admission Master of Social Work Program Thank you for your interest in the MSW program at California State University,

More information

Michael Gayoso, Jr. Office of the County Attorney TH

Michael Gayoso, Jr. Office of the County Attorney TH Michael Gayoso, Jr. Office of the County Attorney TH 11 Judicial District/Crawford County, Kansas DIVERSION PROGRAM -- DRIVING UNDER THE INFLUENCE Pursuant to K.S.A. 22-2906 et seq. the Crawford County

More information

County of Santa Clara Office of the District Attorney

County of Santa Clara Office of the District Attorney County of Santa Clara Office of the District Attorney TO: PROSPECTIVE NEW EMPLOYEES AND VOLUNTEERS OF THE OFFICE OF THE DISTRICT ATTORNEY SUBJECT: BACKGROUND AND RECORD CHECK Jeffrey F. Rosen District

More information

BOARD OF DENTAL EXAMINERS Application for Registration as a Dental Assistant (Traditional/Certified)

BOARD OF DENTAL EXAMINERS Application for Registration as a Dental Assistant (Traditional/Certified) Vermont Secretary of State Office of Professional Regulation 89 Main Street, 3 rd Floor Montpelier VT 05620-3402 Diane Lafaille Licensing Board Specialist (802) 828 2390 diane.lafaille@sec.state.vt.us

More information

First Name Middle Name Last Name Social Security No. - - Address (street number and name) City State. County Zip Cell Telephone Home Phone

First Name Middle Name Last Name Social Security No. - - Address (street number and name) City State. County Zip Cell Telephone Home Phone Date of Application First Name Middle Name Last Name Social Security No. - - Address (street number and name) City State County Zip Cell Telephone Home Phone Date of Birth / / month day year Driver s License

More information