Short-Term Staff Application

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1 Short-Term Staff Application Thank you for applying for a short-term staff position at Radius International. Please refer to the Radius website for more details about this position and don t hesitate to contact us with any questions you may have. Return your completed application to info@radiusinternational.org. : Address: Phone Number: Birthdate: Term you are applying for: Social security number - - Radius International is requesting your social security number, but, under the law, you are not required to provide it. However, providing your social security number will assist Radius International in identity verification, processing your application quickly and determining your eligibility faster and more accurately. Please share your testimony: Why do you think God is leading you to work at Radius at this particular time?

2 What experience do you have working with children? What excites you about this position? What are your concerns about this position? Please list any particular interests, talents, skills, etc. that you think might add to your ability to care for the children. Are you CPR/First Aid certified? Please note, that if you do not already have these certifications, they are required before arriving at Radius. What type of child care situation do you think you cannot handle?

3 What would you say are your greatest strengths? What would you say are your greatest weaknesses? Living on the Radius campus would require living in communal setting while residing in a dormitory room with a private bath. Please share your thoughts about a living situation with little privacy. Please list any educational diplomas and/or degrees, discipleship programs, certificate programs, professional licenses/certificates and/or military experience.

4 Employment History Personal References We will send each of your references an with an attached form to fill out on your behalf. Please ask their permission first and refrain from listing family members as references. Pastoral Reference Reference #2 Reference #3

5 I have read and agree with the Radius International Statement of Beliefs. Have you been convicted of any crime? If yes, please fill out the blanks below. Felony and Gross misdemeanor crimes: Degree: State: Conviction date: Have you ever received notice from a court or state agency that you have sexually abused, physically abused, neglected, abandoned or exploited a child, juvenile or adult? Do you currently have any charges pending against you? Are there any circumstances involving your life-style or background that would call into question you being entrusted with the supervision of minors? I hereby attest that all information pertaining to this application is true, correct, and complete to the best of my knowledge. Signature of Applicant Date I authorize Radius International to check my background with any government identity and law enforcement agency. This permission is good for 90 days from the date it was signed and can be revoked in writing at any time. Signature Date Please attach a current picture of yourself with your application submission. We add these pictures to our incoming students and staff prayer sheet. Thank you.

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