Children s Advocacy Center for Denton County Community Outreach Coordinator Job Position Duties & Responsibilities Effective 1/1/14

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Children s Advocacy Center for Denton County Community Outreach Coordinator Job Position Duties & Responsibilities Effective 1/1/14"

Transcription

1 Children s Advocacy Center for Denton County Community Outreach Coordinator Job Position Duties & Responsibilities Effective 1/1/14 Reports To: Position Overview: Development Director CACDC is seeking a highly motivated individual to execute community prevention education efforts on how to report and recognize child abuse. Excellent public speaking and organizational skills are required. This position also engages, recruits and manages volunteers. Salary commensurate with education and experience. Qualifications: * Bachelor degree, preferably in public relations, business, marketing, journalism, non-profit management, or a related field. * 2+ years experience in non-profit management, fundraising, and/or volunteer management preferred. * Excellent public speaking and written communication skills * Evaluation, planning and coordination skills * Knowledge of CPS/law enforcement/da organizations a plus * Bilingual preferred, but not required * Raiser s Edge experience a plus JOB DUTIES & RESPONSIBILITIES: Conducts education trainings based on a specified curriculum in the area of identifying victims of child sexual abuse, the proper steps to take to report abuse and the role of the Children s Advocacy Center for Denton County in the investigation of abuse. Seeks out and coordinates community-based education opportunities with public and private schools, faith centers, child care facilities, universities, community agencies, summer camps and community groups. Seeks out and arranges sites to facilitate adult education and outreach programs. Implements a reporting/tracking method for Outreach efforts. Implements and coordinates an internal community outreach calendar Attends check presentations/chamber events and other community awareness events as needed. Seeks opportunities to collaborate with community organizations to participate in health fairs and informational booths as needed. Attends team meetings and interfaces with professionals in the field of child abuse and social services. Is responsible for planning and organizing Child Abuse Prevention Month (April) activities and implementation of such in collaboration with the Development Department. Participates in trainings and continuing education, as needed. Recruit, screen and train volunteers Implement an annual volunteer orientation Is responsible for entering volunteer and outreach contact data into Raiser s Edge Skills in planning and prioritizing with a strong results orientation Includes some evenings and weekends for events, outreach and fairs Other duties as assigned by the Development Director

2 CHILDREN S ADVOCACY CENTER FOR DENTON COUNTY (CACDC) PERSONAL HISTORY STATEMENT (PHS) (REVISED 11/18/13) Instructions: These pages must be hand written and returned to Stacie Wainscott at CACDC, 1854 Cain Dr., Lewisville, TX by mail or hand-delivery. Your PHS must be received by 5:00 p.m. on Monday, 12/09/13. APPLICANT INFORMATION DATE: FULL NAME: MAIDEN NAME: OCCUPATION: RESIDENCE ADDRESS: CITY: STATE: ZIP: HOME PHONE: CELL PHONE: ADDRESS: Undergraduate college degree Major: Minor: Master s Degree Date: REQUIRED DOCUMENTS The following documents must be submitted with this Personal History Statement. You should submit photocopies; these will not be returned to you. 1. Resume, along with 3 personal references (not family members or prior employers); 2. Driver s License; 3. College Diploma; 4. Social Security card; 5. Current photo; 6. Documentation of any training that relates to the position for which you are applying; 7. Documentation of any litigation you have been party to; 8. Completed TDFPS Form 1601 (found on CACDC s website). If you cannot submit the required documents, please explain:

3 EMPLOYMENT RECORD Beginning with your present or most recent job, list all jobs you have had during the last 5 years. Include all part-time, temporary and seasonal positions. You should include any position you have accepted regardless of how long you actually worked or the amount or type of compensation. Employer: Phone: Mailing address: City/State/Zip: Type of business: Check job description)s): Full-time Part-time Temporary Contract Starting date: Position: Ending date: Position: Duties/Responsibilities: Supervisor s Name/Title: Are you eligible for rehire? Yes No If no, why not? Reason for leaving or wanting to leave: Would you like to be contacted before we contact your present employer? Yes No Does your present employer know you are applying for this job? Yes No Employer: Phone: Mailing address: City/State/Zip: Type of business: Check job description)s): Full-time Part-time Temporary Contract Starting date: Position: Ending date: Position: Duties/Responsibilities: Supervisor s Name/Title: Are you eligible for rehire? Yes No If no, why not? Reason for leaving or wanting to leave:

4 EMPLOYMENT RECORD, CONTINUED Employer: Phone: Mailing address: City/State/Zip: Type of business: Check job description)s): Full-time Part-time Temporary Contract Starting date: Position: Ending date: Position: Duties/Responsibilities: Supervisor s Name/Title: Are you eligible for rehire? Yes No If no, why not? Reason for leaving or wanting to leave: Employer: Phone: Mailing address: City/State/Zip: Type of business: Check job description)s): Full-time Part-time Temporary Contract Starting date: Position: Ending date: Position: Duties/Responsibilities: Supervisor s Name/Title: Are you eligible for rehire? Yes No If no, why not? Reason for leaving or wanting to leave: PLEASE ATTACH EXTRA PAGES IF NEEDED FOR ADDITIONAL EMPLOYERS.

5 Record, below, all periods of unemployment during at least the past five (5) years: A PERIOD OF UNEMPLOYMENT IS ANY TIME YOU DID NOT HAVE A JOB! From To Length of Unemployment Reason for Being (Month/Year) (Month/Year) Unemployed Indicate work experience you think will specifically qualify you for the position to which you are applying. Describe positions you have held that required supervisory ability, the exercise of authority or leadership: Are there any incidents in your life not mentioned herein which may reflect upon your suitability to perform the duties which you may be called upon to carry out, or which might require further explanation?

6 OTHER INFORMATION Special Skills: Describe any special type of training or ability you have that you think would be of value to the Children s Advocacy Center: Community Activities: Describe community activities that you have participated in: Awards, Commendations or Items of Special Recognition: Volunteer Experience: Describe your own volunteerism, or where you have worked with volunteers: Team Work and Coordination Experience: Please list any experience in working with teams, and coordinating teams. Please include your role on the team, etc.: Please attach additional pages if necessary. I certify there are no willful misrepresentations, omissions, or falsifications in the foregoing statements and answers to questions. I am fully aware an incomplete application, or any misrepresentations, omissions, and/or falsifications will be grounds for immediate rejections of my application, or if hired, termination of my employment. Signature: Date:

7 Texas Dept of Family and Protective Services PERMISSION TO ALLOW CAC PROGRAM TO REQUEST CHILD ABUSE/NEGLECT CENTRAL REGISTRY and DPS CRIMINAL HISTORY CHECK Form 1601 May Purpose The purpose of this form is to grant authorized representatives of Children s Advocacy Center (CAC) programs permission to request a Central Registry of Child Abuse and Neglect check from the Texas Department of Family and Protective Services (DFPS) as well as a criminal history check from the Texas Department of Public Safety (DPS) on the behalf of potential and current CAC volunteers, employees and board members. Central Registry check As required by the Texas Family Code , DFPS maintains a central registry of reported cases of child abuse and neglect. The DFPS Central Registry consists only of information gathered during Child Protective Services, Child Care Licensing, and Adult Protective Services facility investigations of child abuse and neglect: 1) in open cases where the person has a role of alleged perpetrator, and 2) in cases which were given a disposition of "reason to believe", and the person had a role of designated perpetrator or sustained perpetrator (Please Note: Cases involving adult victims are not included in the DFPS Central Registry.). Criminal History check The criminal history check from DPS will include all Texas based arrests and dispositions, including both convictions and cases with unknown dispositions. In some cases the search will produce juvenile criminal history results. Unknown disposition information found may not be the most up to date information available. If the results returned from DPS include an unknown disposition contact the court of jurisdiction and request an official certified copy of the disposition. The official certified copy and an Error Resolution Form (Error Resolution Form) should be sent to DPS at P.O. Box 4143, Austin, TX If you dispute the criminal history returned from DPS you will need to request a personal request of review by DPS and submit fingerprints. To schedule a fingerprint appointment you will need to contact MorphoTrust enrollment services (L-1 Enrollment) at (888) You will need to take the TXIREVIEW FAST Pass (TXIREVIEW FAST Pass) with you on the date of your scheduled fingerprint appointment. If you have any issues with scheduling a fingerprint appointment, please contact CBCU at (800) Process A signed copy of this form will be submitted to DFPS on your behalf. Providing false information on the form or any updated information requested for future submissions to DFPS is a violation of Texas Penal Code Section The information on this form will be used to conduct the DFPS Central Registry and criminal history checks. Results As the subject of the request, you have the right to review the results of this check. If Central Registry history is found that identifies you as a person who has been found to have abused or neglected a child, DFPS will only send the results directly to you via mail or . You have the option to share these findings with the CAC representative who submitted the request on your behalf. If you want to continue to be considered as a potential volunteer, employee, or board member with CAC you will be required to disclose the findings. Page 1

8 Texas Dept of Family and Protective Services PERMISSION TO ALLOW CAC PROGRAM TO REQUEST CHILD ABUSE/NEGLECT CENTRAL REGISTRY and DPS CRIMINAL HISTORY CHECK Form 1601 May REQUIRED IDENTIFYING INFORMATION ON SUBJECT OF REQUEST - The requester must provide all of this information in order for a check to be made: First Name Middle Name Last Name Other names or spellings used (married, maiden, alias, etc.) - First, Middle, Last (continue on back as needed) Address (optional) Current Residence Street Address City County State Zip Code Residence Telephone No. (A/C) Date of Birth Gender : Male - Race (check all applicable) Am Indian/AK Native Nat Hawaii/Pacis Asian White Black Unable to Determine List all addresses you have resided in Texas: Female Ethnicity (check one, only) Hispanic Not Hispanic Unable to Determine SSN I am the person listed above. The information in this document is correct and I am a prospective or current volunteer, employee or board member of a Children s Advocacy Center (CAC) program. I agree to update the CAC program of any changes to the information above. I grant permission to the CAC program to request a Child Abuse/Neglect Central Registry and a Texas Department of Public Service Criminal history check as well as any subsequent checks so long as I am active with the CAC program. I authorize DFPS to transmit the results of this background check via and I acknowledge that DFPS cannot guarantee that information transmitted electronically is secure and accessible only to approved parties. I understand that the information I am providing will be part of any request and that providing false information is a violation of Texas Penal Code Section Signature: Date of Consent: Page 2

Again, thank you for your support we hope to see you around the Center soon! Anne West Volunteer Coordinator. Dear Prospective Volunteer,

Again, thank you for your support we hope to see you around the Center soon! Anne West Volunteer Coordinator. Dear Prospective Volunteer, Dear Prospective Volunteer, Thank you for your interest in volunteering with the Center for Child Protection. Volunteers provide the vital support needed for the Center s successful operation and we offer

More information

Employment Application Administration. Personal Data

Employment Application Administration. Personal Data Employment Application Administration Please type or complete in ink, printing clearly. Complete all sections even if enclosing resume. Galveston College is an equal employment/affirmative action employer.

More information

Brazos County Precinct 3 Volunteer Fire Department P.O. Box 5453 Bryan, TX 77805 www.pct3vfd.com Fighting Fires and Saving Lives, Since 1977

Brazos County Precinct 3 Volunteer Fire Department P.O. Box 5453 Bryan, TX 77805 www.pct3vfd.com Fighting Fires and Saving Lives, Since 1977 Brazos County Precinct 3 Volunteer Fire Department P.O. Box 5453 Bryan, TX 77805 www.pct3vfd.com Fighting Fires and Saving Lives, Since 1977 Dear Applicant: Thank you for your interest in becoming a member

More information

Consultant Application

Consultant Application Consultant Application Education Service Center Region 12 2101 W. Loop 340 Waco, Texas 76712 254-297-1212 254-666-0625 The Education Service Center Region 12 does not discriminate on the basis of race,

More information

MARTIN S MILL INDEPENDENT SCHOOL DISTRICT 301 FM 1861 ~BEN WHEELER, TX 75754

MARTIN S MILL INDEPENDENT SCHOOL DISTRICT 301 FM 1861 ~BEN WHEELER, TX 75754 Education/Training Position Data Personal Data MARTIN S MILL INDEPENDENT SCHOOL DISTRICT SERVICE AND SUPPORT PERSONNEL EMPLOYMENT APPLICATION We consider applicants for all positions without regard to

More information

INTERN APPLICATION. Thank You for applying for internship at St. PJ's!

INTERN APPLICATION. Thank You for applying for internship at St. PJ's! INTERN APPLICATION Please complete the application and return to the hiring Supervisor. Copies of your Driver License or State ID, Social Security Card and Cover letter and Resume are also needed. The

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

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

City State Zip Code Check which shift(s) you will accept: Day Evening Night Rotating Weekends

City State Zip Code Check which shift(s) you will accept: Day Evening Night Rotating Weekends Application for Employment: Crossroads Community Services 60 Bush River Drive, P.O. Drawer 248, Farmville, VA 23901-0248 (434) 392-7049 FAX (434) 392-4013 (Human Resources) Providing Services Since 1973

More information

APPLICATION FOR NON-EMPLOYEES

APPLICATION FOR NON-EMPLOYEES APPLICATION FOR NON-EMPLOYEES NorthEast Treatment Centers is an Equal Opportunity company and does not discriminate on the basis of race, color, religion, gender, age, ethnic or national origin, handicap,

More information

*****THIS FORM IS NOT A PROTECTIVE ORDER APPLICATION OR A PROTECTIVE ORDER*****

*****THIS FORM IS NOT A PROTECTIVE ORDER APPLICATION OR A PROTECTIVE ORDER***** SHAREN WILSON CRIMINAL DISTRICT ATTORNEY OF TARRANT COUNTY, TEXAS PROTECTIVE ORDERS Family Law Center Phone Number 817-884-1623 200 East Weatherford Street # 3040 Fax Number 817-212-7393 Fort Worth, Texas

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 EMPLOYMENT Superior Plumbing Services, Inc.

APPLICATION FOR EMPLOYMENT Superior Plumbing Services, Inc. APPLICATION FOR EMPLOYMENT Superior Plumbing Services, Inc. 3991 Royal Drive, Kennesaw, GA 30144 Ph 770-422- 7586 * Fax 770-795- 9319 hr@superiorplumbing.com Last Name: First Name: MI: Street or Mailing

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

HELEN FARABEE 1000 Brook/ P.O. Box 8266 CENTERS

HELEN FARABEE 1000 Brook/ P.O. Box 8266 CENTERS HELEN FARABEE 1000 Brook/ P.O. Box 8266 CENTERS Wichita Falls, Texas 76307 (940) 397-3100 Fax (940) 397-3150 These instructions must be followed exactly. Please fill out the application completely. If

More information

Interviews. Hiring. Orientation

Interviews. Hiring. Orientation FLORENCE-DARLINGTON TECHNICAL COLLEGE Human Resources Department P.O. Box 100548 Florence, SC 29501-0548 Phone (843) 661-8320 Fax (843) 661-8371 Web Address: http://www.fdtc.edu Applicant Information and

More information

Updated 01.22.14. Doctor of Pharmacy (Pharm. D.) Transfer Student Application

Updated 01.22.14. Doctor of Pharmacy (Pharm. D.) Transfer Student Application Updated 01.22.14 Doctor of Pharmacy (Pharm. D.) Transfer Student Application Doctor of Pharmacy (Pharm. D.) Transfer Student Application This application is for students interested in transferring to the

More information

*****THIS FORM IS NOT A PROTECTIVE ORDER APPLICATION OR A PROTECTIVE ORDER*****

*****THIS FORM IS NOT A PROTECTIVE ORDER APPLICATION OR A PROTECTIVE ORDER***** SHAREN WILSON CRIMINAL DISTRICT ATTORNEY OF TARRANT COUNTY, TEXAS PROTECTIVE ORDER UNIT Family Law Center Phone Number 817-884-1623 200 East Weatherford Street # 3040 Fax Number 817-212-7393 Fort Worth,

More information

Frequently Asked Questions:

Frequently Asked Questions: All completed application may be returned in person or mailed to our office at 3000 Business Center Drive Alexandria, Virginia 22314. Incomplete applications will be returned. You must include a criminal

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

CITY OF NORTH MIAMI BEACH

CITY OF NORTH MIAMI BEACH CITY OF NORTH MIAMI BEACH APPLICATION FOR EMPLOYMENT AN EQUAL OPPORTUNITY EMPLOYER INSTRUCTIONS: Please fill out this application accurately and completely. PLEASE PRINT CLEARLY or type all information.

More information

STATE OF OREGON - OREGON YOUTH AUTHORITY EMPLOYMENT APPLICATION PERSONAL INFORMATION PREFERENCES EDUCATION COLLEGE/UNIVERSITY EDUCATION

STATE OF OREGON - OREGON YOUTH AUTHORITY EMPLOYMENT APPLICATION PERSONAL INFORMATION PREFERENCES EDUCATION COLLEGE/UNIVERSITY EDUCATION STATE OF OREGON - OREGON YOUTH AUTHORITY EMPLOYMENT APPLICATION State of Oregon Website: http://www.oregonjobs.org For instructions on where to submit your application please see the Description section

More information

EMPLOYMENT APPLICATION. Get Involved

EMPLOYMENT APPLICATION. Get Involved EMPLOYMENT APPLICATION Get Involved To be completed by a potential employee. Please complete this application by typing or printing in ink. INCOMPLETE or UNSIGNED applications will not be considered. Email

More information

Dallas Fire-Rescue Personal History Statement

Dallas Fire-Rescue Personal History Statement Recruiter: Date: Dallas Fire-Rescue Personal History Statement Place a current passport photo in the box. This Personal History Statement will need to be returned to the recruiting office no later than

More information

MIDLAND COLLEGE HUMAN RESOURCES

MIDLAND COLLEGE HUMAN RESOURCES MIDLAND COLLEGE HUMAN RESOURCES 3600 N. Garfield. Midland, TX 79705-6397 Telephone: (432) 685-4532 Fax: (432) 685-6480 Website: www.midland.edu Equal Employment Opportunity Policy: Midland College declares

More information

Delaware State Police. Trooper Application. Return completed application to: Delaware State Police P.O. Box 430 Dover, DE 19903-0430

Delaware State Police. Trooper Application. Return completed application to: Delaware State Police P.O. Box 430 Dover, DE 19903-0430 Delaware State Police Trooper Application Return completed application to: Delaware State Police P.O. Box 430 Dover, DE 19903-0430 Recruitment Office (302) 739-5980 or 739-7846 dsprecruiting@state.de.us

More information

Y- AmeriCorps Application

Y- AmeriCorps Application Y- AmeriCorps Application PERSONAL PROFILE NAME: LAST FIRST MIDDLE Are you a United States citizen, national, or lawful permanent resident alien? Yes No If you are a lawful permanent resident alien and

More information

RECRUITMENT JOB APPLICATION PACKAGE

RECRUITMENT JOB APPLICATION PACKAGE RECRUITMENT JOB APPLICATION PACKAGE Stages of processing for Police Officer Applicants 1. Civil Service Test. 100 Questions multiple choice. 2. Agility Test. Check web site www.bpdrecruit.com or call the

More information

Employment Application

Employment Application Employment Application Crossroads Academy of Kansas City is an equal opportunity employer. Applicants are considered for all positions without regard to sex, race, religion, color, national origin, ancestry,

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

TV/Radio: Agency: Newspaper: Family/Friend: Referred By:

TV/Radio: Agency: Newspaper: Family/Friend: Referred By: WWW.CASA-SATX.ORG P: 210.225.7070 F: 210.225.7040 406 SAN PEDRO, SAN ANTONIO, TX 78212? Please prioritize using (1, 2, & 3) your preference in joining classes. How did you hear about CASA? CASA Website

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

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT USE ONLY BLACK INK OR TYPEWRITER ON THIS FORM. INCOMPLETE APPLICATION MAY DISQUALIFY YOU FROM FURTHER CONSIDERATION. APPLICATION FOR EMPLOYMENT METROPOLITAN TRANSPORTATION AUTHORITY The MTA is an Equal

More information

California Northstate University College of Pharmacy Transfer Student Application

California Northstate University College of Pharmacy Transfer Student Application California Northstate University College of Pharmacy Transfer Student Application California Northstate University College of Pharmacy Transfer Student Application This admission application packet is

More information

NATIONWIDE GUARD SERVICES

NATIONWIDE GUARD SERVICES NATIONWIDE GUARD SERVICES EMPLOYMENT APPLICATION (Please Print in Ink) The following qualifications and conditions are required in order to be a Security Officer for Nationwide Guard Services: 1. Valid

More information

INSTRUCTIONS SKYLARK DRY CLEANING EMPLOYMENT APPLICATION

INSTRUCTIONS SKYLARK DRY CLEANING EMPLOYMENT APPLICATION INSTRUCTIONS SKYLARK DRY CLEANING EMPLOYMENT APPLICATION Thank you for your interest in. You may submit your application by email (preferred), by Fax, or by U.S. mail. Email Submission: Download, print

More information

An Equal Opportunity Employer

An Equal Opportunity Employer An Equal Opportunity Employer Federal, State and Local Laws prohibit discrimination because of race, color, sex, age, national origin, ancestry, handicap or veteran status. APPLICATION FOR EMPLOYMENT (Please

More information

INSTRUCTIONS FOR EMPLOYMENT APPLICATIONS

INSTRUCTIONS FOR EMPLOYMENT APPLICATIONS INSTRUCTIONS FOR EMPLOYMENT APPLICATIONS In order to comply with Federal and State Government requirements, a complete file on all employees is required. The employee file must consist of a completed Employment

More information

The Gardens of Richardson

The Gardens of Richardson The Gardens of Richardson 1111 West Shore Drive, Richardson, TX 75080 972-783-8000, www.gardensofrichardson.com APPLICATION FOR EMPLOYMENT Thank you for your interest in employment with The Gardens of

More information

PRINCIPAL APPLICATION PACKET

PRINCIPAL APPLICATION PACKET Archdiocese of Mobile Office of Catholic Schools PRINCIPAL APPLICATION PACKET OFFICE OF CATHOLIC SCHOOLS Archdiocese of Mobile 352 Government Street, Mobile, AL 36602 251.438.4611 Dear Applicant: Thank

More information

Ohiopyle Prints, Inc.

Ohiopyle Prints, Inc. Ohiopyle Prints, Inc. 410 Dinner Bell Road Ohiopyle, PA 15470 724-329-4652 2016 STUDENT SUMMER WORK PROGRAM Starting Pay $7.25 / hr $50 Attendance Bonus Plan Must be 16 years or older and have a valid

More information

Project Transformation Oklahoma Application PERSONAL PROFILE

Project Transformation Oklahoma Application PERSONAL PROFILE PERSONAL PROFILE 1. NAME: LAST FIRST MIDDLE 2. AmeriCorps members must be a United States citizen, U.S. National or Lawful Permanent Resident. Are you a U.S. Citizen, national, or lawful permanent resident

More information

Selah Fire Department Yakima County Fire District # 2

Selah Fire Department Yakima County Fire District # 2 Volunteer Application Packet 2014 Web Application 206 West Fremont Avenue - Selah, Washington 98942 Chief Gary Hanna Business Phone (509) 698-7310 Fax (509) 698-7317 Volunteer Firefighter Thank you for

More information

CERTIFIED TEACHER APPLICATION

CERTIFIED TEACHER APPLICATION Tucson International Academy Academia International de Tucson CERTIFIED TEACHER APPLICATION Tucson International Academy Human Resources Department 2700 W Broadway Blvd Tucson, AZ 85745 JOB OPENINGS Phone:

More information

Employment Application

Employment Application Employment Application Name: Date: 2909 Taylor Dallas, TX 75226 Phone: (214) 658-7174 Fax: (214) 658-7121 Employment Application The Dallas Mavericks are an equal opportunity employer and do not unlawfully

More information

APPLICATION FOR THE POSITION OF POLICE OFFICER VILLAGE OF MARISSA, ILLINOIS EQUAL OPPORTUNITY EMPLOYER

APPLICATION FOR THE POSITION OF POLICE OFFICER VILLAGE OF MARISSA, ILLINOIS EQUAL OPPORTUNITY EMPLOYER APPLICATION FOR THE POSITION OF POLICE OFFICER VILLAGE OF MARISSA, ILLINOIS EQUAL OPPORTUNITY EMPLOYER Date Received For Official Use Only Full-Time Only Part-Time Only Full-Time or Part-Time INSTRUCTIONS:

More information

Have you ever been employed by The Texas Department of Criminal Justice?

Have you ever been employed by The Texas Department of Criminal Justice? PRE-EMPLOYMENT APPLICATION is an equal opportunity employer and will consider all applicants for all positions equally without regard to their race, sex, age, color, religion, national origin, veteran

More information

Application for Employment

Application for Employment Application for Employment Northeast Youth & Family Services (NYFS) appreciates your interest in our organization and wishes to assure you that we are sincerely interested in your qualifications. A clear

More information

KenCom Public Safety Dispatch 9-1-1 Telecommunicator (Full-time)

KenCom Public Safety Dispatch 9-1-1 Telecommunicator (Full-time) KenCom Public Safety Dispatch 9-1-1 Telecommunicator (Full-time) KenCom Public Safety Dispatch is a consolidated emergency communications center located in Kendall County. KenCom is a 24 hour, 7 day a

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

Current Home Address City State Zip How long at this address? Previous Address (If less than 4 years above.) City State Zip How long at this address?

Current Home Address City State Zip How long at this address? Previous Address (If less than 4 years above.) City State Zip How long at this address? EMPLOYMENT APPLICATION Federal, state and local laws prohibit discrimination based on race, color, sex, religion, national origin, age, ancestry, disability or marital status. MLG NAI MLG Commercial /

More information

Personal History Statement Application for Law Enforcement Explorer

Personal History Statement Application for Law Enforcement Explorer Name: Date Applied: Personal History Statement Application for Law Enforcement Explorer The Plano Police Department Explorer Post 911 909 14 th Street Plano, Texas 75086-0358 Instructions Read these instructions

More information

APPLICATION FOR EMPLOYMENT INSTRUCTION SHEET

APPLICATION FOR EMPLOYMENT INSTRUCTION SHEET APPLICATION FOR EMPLOYMENT INSTRUCTION SHEET Thank you for your interest in Navarro College. Please take a moment to read the following instructions before completing this application. Please follow the

More information

Retain this page for reference purposes

Retain this page for reference purposes To: All New Applicants Friendswood Independent School District 302 Laurel Drive Friendswood, TX 77546 SS UU BB SS TT II ITT UU TT EE AA PP PP LL II ICC AA TT II IOO NN GG EE NN EE RR AA LL II INN FF OO

More information

The Executive Committee of the Baptist Convention of the State of Georgia

The Executive Committee of the Baptist Convention of the State of Georgia The Executive Committee of the Baptist Convention of the State of Georgia Employment Application According to its Constitution, the purpose of the Baptist Convention of the State of Georgia is to be a

More information

Please answer all questions which apply to you and mark those that do not apply with N/A. LAST NAME FIRST NAME MIDDLE NAME

Please answer all questions which apply to you and mark those that do not apply with N/A. LAST NAME FIRST NAME MIDDLE NAME CRIMINAL JUSTICE INSTITUTE University of Arkansas System 26 Corporate Hill Dr Little Rock, Arkansas 72205 (501) 570-8000 APPLICATION FOR EMPLOYMENT The Criminal Justice Institute is an Equal Opportunity/Affirmative

More information

Hose of South Texas, Inc.

Hose of South Texas, Inc. Hose of South Texas, Inc. PLEASE PRINT ALL APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS *Please fill out the following application and email to info@hose-etc.com PLEASE COMPLETE PAGES 1-5. DATE Name Last

More information

Vermont Board of Nursing INSTRUCTION TO APPLICANTS

Vermont Board of Nursing INSTRUCTION TO APPLICANTS Vermont Secretary of State 89 Main St., 3 rd Floor Montpelier VT 05620-3402 Nursing Foreign_nurse@sec.state.vt.us www.vtprofessionals.org INSTRUCTION TO APPLICANTS The following applies to applications

More information

Town of Wilton. 238 Danbury Road Wilton, CT 06897. APPLICATION FOR EMPLOYMENT Equal Opportunity Employer

Town of Wilton. 238 Danbury Road Wilton, CT 06897. APPLICATION FOR EMPLOYMENT Equal Opportunity Employer Town of Wilton 238 Danbury Road Wilton, CT 06897 APPLICATION FOR EMPLOYMENT Equal Opportunity Employer APPLICANT S NAME (LAST, FIRST, MIDDLE) STEET ADDRESS CITY/TOWN STATE ZIP CODE HOW LONG? TELEPHONE

More information

Employment Application Equal Opportunity and Affirmative Action Employer

Employment Application Equal Opportunity and Affirmative Action Employer Employment Application Equal Opportunity and Affirmative Action Employer We appreciate your interest in our organization. Please answer all questions. We comply with state and federal laws prohibiting

More information

PERSONAL INFORMATION

PERSONAL INFORMATION APPLICATION FOR EMPLOYMENT FORM WAYNE COMMUNITY COLLEGE P. O. Box 8002 Goldsboro, NC 27533-8002 919-735-5151 www.waynecc.edu POSITION BEING APPLIED FOR: DATE: TYPE OF EMPLOYMENT DESIRED: Full-Time Part-Time

More information

Please note: We are accepting applications for 1-4 bedroom apartments only.

Please note: We are accepting applications for 1-4 bedroom apartments only. Page 1 Gardens at SouthBay Preliminary Application 6720 S. Louis Ave, Tampa, FL 33616 PLEASE RETURN APPLICATION MONDAY THURSDAY 9AM 6PM POR FAVOR DE REGRESAR LA APLICACIÓN DE LUNES A JUEVES DE 9AM A 6PM

More information

FRUITA POLICE DEPARTMENT

FRUITA POLICE DEPARTMENT FRUITA POLICE DEPARTMENT Personal History Form for Police Officer Applicants Personal Full Legal Last First Middle Name Sex Height Weight Hair Eyes Social Security Number Driver s License No. State Expiration

More information

Boones Creek Animal Hospital PLEASE COMPLETE THE FOLLOWING INFORMATION:

Boones Creek Animal Hospital PLEASE COMPLETE THE FOLLOWING INFORMATION: Boones Creek Animal Hospital PLEASE COMPLETE THE FOLLOWING INFORMATION: Job Applied For: q Receptionist q RVT q Assistant q Other HOW DID YOU LEARN ABOUT THIS POSITION? q Newspaper (List Publication) q

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION Shelby County Fiscal Court THIS APPLICATION IS CONSIDERED A TEST AND WILL BE GRADED. Please be detailed with your job descriptions and skills used on the job. READ ALL INSTRUCTIONS,

More information

City of San Antonio Police Department

City of San Antonio Police Department City of San Antonio Police Department Applicant Processing Detail APPLICATION FOR THE POSITION OF: POLICE CADET - 0602 NAME OF APPLICANT: DATE COMPLETED: Last Name (Suffix Sr, Jr, III, etc), First Name,

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

APPLICANT CHECKLIST. The following documents must be submitted at the time of application:

APPLICANT CHECKLIST. The following documents must be submitted at the time of application: APPLICANT CHECKLIST The following documents must be submitted at the time of application: 1. Birth Certificate 2. High School Diploma or G.E.D. Certificate 3. College Degree & Transcript (if applicable)

More information

FIREFIGHTER/PARAMEDIC EMPLOYMENT APPLICATION (Please Print)

FIREFIGHTER/PARAMEDIC EMPLOYMENT APPLICATION (Please Print) FIREFIGHTER/PARAMEDIC EMPLOYMENT APPLICATION (Please Print) FOR OFFICE USE ONLY CITY OF SPRINGFIELD, OHIO PERSONNEL DEPARTMENT 76 EAST HIGH STREET SPRINGFIELD, OHIO 45502 INSTRUCTIONS: Please fill out

More information

VOLUNTEER APPLICATION

VOLUNTEER APPLICATION VOLUNTEER APPLICATION (509) 875-2029 RETURN COMPLETED APPLICATION TO: OR DELIVER TO THE PATERSON STATION 48001 PRIOR ROAD PATERSON, WA Application for Volunteer Firefighter Benton County Fire District

More information

KenCom Public Safety Dispatch 1100 Cornell Lane, Yorkville, Illinois 60560 Phone (630) 553-0911

KenCom Public Safety Dispatch 1100 Cornell Lane, Yorkville, Illinois 60560 Phone (630) 553-0911 KenCom Public Safety Dispatch 1100 Cornell Lane, Yorkville, Illinois 60560 Phone (630) 553-0911 Instructions: Fill out this application completely and accurately. All statements in your application are

More information

PLEASE PRINT USING BLUE OR BLACK INK PERSONAL PROFILE

PLEASE PRINT USING BLUE OR BLACK INK PERSONAL PROFILE 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

Thank you for your interest in the Summer Nursing Intern Program at Johnson Memorial Health Services.

Thank you for your interest in the Summer Nursing Intern Program at Johnson Memorial Health Services. Name: Thank you for your interest in the Summer Nursing Intern Program at Johnson Memorial Health Services. Please complete the application packet. Interns must be enrolled in a summer internship course

More information

Application for Employment

Application for Employment Human Resources 2405 East College Way Mount Vernon, WA 98273-5899 Job Line 360-416-7800 Fax 360-416-7878 E-mail: employ@skagit.edu Website: www.skagit.edu Application for Employment Skagit Valley College

More information

APPLICATION FOR EMPLOYMENT Please TYPE or print using BLACK or BLUE ink

APPLICATION FOR EMPLOYMENT Please TYPE or print using BLACK or BLUE ink Name: First Last 11878 Avenue of Industry San Diego, CA 92128 Telephone: (858) 675-4200 Fax: (858) 675-9241 APPLICATION FOR EMPLOYMENT Please TYPE or print using BLACK or BLUE ink Date Application Completed:

More information

Office of the Attorney General Attn: Personnel The Capitol - PL01 Tallahassee, FL 32399-1050

Office of the Attorney General Attn: Personnel The Capitol - PL01 Tallahassee, FL 32399-1050 A State of Florida Job Application Form is contained on the next four pages. You may print the form, complete the information and mail to the Office of the Attorney General. Please include the position

More information

100 West Cypress Creek Road Suite 850 Fort Lauderdale, Florida PHONE: FAX

100 West Cypress Creek Road Suite 850 Fort Lauderdale, Florida PHONE: FAX 100 West Cypress Creek Road Suite 850 Fort Lauderdale, Florida 33309 PHONE: 954-876-0033 FAX 954-876-0062 EMPLOYMENT APPLICATION An Equal Opportunity Employer and a Drug Free Workplace The Broward MPO

More information

READINESS. htp:/apps.bexar.org/electionsearch/electionsearch.aspx?psearchtab=3

READINESS. htp:/apps.bexar.org/electionsearch/electionsearch.aspx?psearchtab=3 READINESS htp:/apps.bexar.org/electionsearch/electionsearch.aspx?psearchtab=3 Family Service Association of San Antonio, Inc. Universal Enrollment Form Before submitting your application, please make sure

More information

METRO MENTORING. Mentor Application

METRO MENTORING. Mentor Application Mentor Application Personal Information Name: Date: City: State: Zip: Home phone: Work phone: Cell phone: Email Address: Social Sec. #: Date of Birth / / Age: Gender: Male Female Ethnicity: White: Hispanic:

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION Family Care Network, Inc. 13967 Farmington Road Livonia, Ml 48154 (734)266-1421 Fax (734)266-1422 EMPLOYMENT APPLICATION PERSONAL DATA LAST NAME FIRST MIDDLE ADDRESS NUMBER & STREET CITY STATE ZIP SOCIAL

More information

City of Terrell Hills 5100 North New Braunfels Avenue San Antonio, Texas 78209 210-824-7401

City of Terrell Hills 5100 North New Braunfels Avenue San Antonio, Texas 78209 210-824-7401 To All Applicants: In order for the City of Terrell Hills to process this application, it must be complete. All lines must be filled in. If something does not apply to you, then write N/A in that blank.

More information

2015-2016 APPLICATION

2015-2016 APPLICATION 2015-2016 APPLICATION A City of Richmond Community Building Collaborative The AmeriCorps ACES (Action for Community Enhancement Services) program is available to all without regard to race, color, national

More information

JOB OPPORTUNITY. Firefighter-Fire Department. P.O. Box 635030 Nacogdoches, TX 75963-5030 Office: 936-559-2567 Fax: 936-559-2915

JOB OPPORTUNITY. Firefighter-Fire Department. P.O. Box 635030 Nacogdoches, TX 75963-5030 Office: 936-559-2567 Fax: 936-559-2915 JOB OPPORTUNITY Firefighter-Fire Department P.O. Box 635030 Nacogdoches, TX 75963-5030 Office: 936-559-2567 Fax: 936-559-2915 Firefighter-Nacogdoches Fire & Rescue Nacogdoches Firefighters provides exceptional

More information

PART TIME FIREFIGHTER /EMT

PART TIME FIREFIGHTER /EMT 1525 Avenue D P.O. Box 820 Snohomish, WA 98291-0820 Snohomish County Fire District #4 PART TIME FIREFIGHTER /EMT Snohomish County Fire District #4 is accepting applications for the position of Part-Time

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT 37248 PALM BEACH COUNTY BOARD OF COUNTY COMMISSIONERS HUMAN RESOURCES www.pbcgov.jobs 100 Australian Avenue Suite 300 West Palm Beach, Florida 33406 JOB HOTLINE 561-616-6900 FAX 561-616-6893 APPLICATION

More information

UNDERGRADUATE NON-DEGREE ENROLLMENT FORM

UNDERGRADUATE NON-DEGREE ENROLLMENT FORM UNDERGRADUATE NON-DEGREE ENROLLMENT FORM UNDERGRADUATE STUDENTS ONLY: You WILL NOT be eligible for non-degree enrollment if any of the following statements apply to you. If you have: n Previously attended

More information

DANVILLE-PITTSYLVANIA COMMUNITY SERVICES 245 HAIRSTON STREET DANVILLE, VIRGINIA 24540 434-799-0456

DANVILLE-PITTSYLVANIA COMMUNITY SERVICES 245 HAIRSTON STREET DANVILLE, VIRGINIA 24540 434-799-0456 APPLICATION FOR EMPLOYMENT DANVILLE-PITTSYLVANIA COMMUNITY SERVICES 245 HAIRSTON STREET DANVILLE, VIRGINIA 24540 434-799-0456 INSTRUCTIONS: PLEASE READ CAREFULLY BEFORE COMPLETING THIS APPLICATION 1. The

More information

St. Mary s University School of Law Application for Admission San Antonio, Texas

St. Mary s University School of Law Application for Admission San Antonio, Texas St. Mary s University School of Law Application for Admission San Antonio, Texas This application is for Fall 2015 in the (Check one): Full Time Day Program or Part Time Evening Program This application

More information

Memphis Police Department Police Officer Application Packet

Memphis Police Department Police Officer Application Packet Memphis Police Department Police Officer Application Packet MINIMUM REQUIREMENTS 54 Semester Hours at an Accredited College or University or Two years of continuous Military Service with an honorable discharge

More information

POSITION APPLYING FOR. Have you ever filed an application with us before? (If yes, give date)

POSITION APPLYING FOR. Have you ever filed an application with us before? (If yes, give date) Job Application Form POSITION APPLYING FOR DATE Have you ever filed an application with us before? (If yes, give date) Have you ever been employed with us before? (If yes, give date) On what date would

More information

INSTRUCTIONS FOR EMS EXAMINATION AND LICENSURE/CERTIFICATION APPLICATION

INSTRUCTIONS FOR EMS EXAMINATION AND LICENSURE/CERTIFICATION APPLICATION INSTRUCTIONS FOR EMS EXAMINATION AND LICENSURE/CERTIFICATION APPLICATION ALL COURSEWORK AND FINAL EXAMS MUST BE COMPLETED PRIOR TO APPLICATION. Provide all applicable information requested. Missing information

More information

APPLICATION GUIDELINES

APPLICATION GUIDELINES Northern Arizona Council of Governments 119 East Aspen Avenue Flagstaff, Arizona 86001 Job Line: (928) 774-2233 * Fax: (928) 779-6208 Main Line: (928) 774-1895 Ext. 1145 APPLICATION GUIDELINES NACOG would

More information

McCOLL SCHOOL OF BUSINESS MBA APPLICATION

McCOLL SCHOOL OF BUSINESS MBA APPLICATION McCOLL SCHOOL OF BUSINESS MBA APPLICATION Master of Business Administration Not just a degree. An experience. McColl MBA Application Professional MBA (PMBA) Application Requirements Completed application

More information

Pfeiffer University Department of Nursing. 2016 Application to Undergraduate Upper Division Nursing Major

Pfeiffer University Department of Nursing. 2016 Application to Undergraduate Upper Division Nursing Major Pfeiffer University Department of Nursing 2016 Application to Undergraduate Upper Division Nursing Major *Applicant: (Please print name) *Applications received or postmarked after February 1, 2016 will

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

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION P.O. Box 7 Amsterdam, NY 12010 518-842-2410 800-836-7877 Fax: 888-842-1207 Hill & Markes, Inc. supports equal opportunity for all employment candidates, as well as existing associates,

More information

Pharmacy Technician. Program. Weatherford College in Partnership with Condensed Curriculum International (CCI) KEEP THIS SCHEDULE FOR YOUR RECORDS.

Pharmacy Technician. Program. Weatherford College in Partnership with Condensed Curriculum International (CCI) KEEP THIS SCHEDULE FOR YOUR RECORDS. Pharmacy Technician Weatherford College in Partnership with Condensed Curriculum International (CCI) Program Summary: As a Pharmacy Technician you will help the pharmacist package or mix prescriptions,

More information

SPARTANBURG COUNTY EMPLOYMENT APPLICATION

SPARTANBURG COUNTY EMPLOYMENT APPLICATION SPARTANBURG COUNTY EMPLOYMENT APPLICATION Spartanburg County is an equal employment opportunity employer, and makes all employment decisions without regard to disability, handicap, race, color, religion,

More information

Minnetonka Assisted Living and Hospice Employment Application Please print and complete all sections.

Minnetonka Assisted Living and Hospice Employment Application Please print and complete all sections. Minnetonka Assisted Living and Hospice Employment Application Please print and complete all sections. Full Current Home Phone #: Other Phone #: Position applying for (circle one): Home Health Aide Certified

More information