We are an Equal Opportunity Organization
All qualified applicants will receive equal consideration on a non-discriminatory basis with respect to residence, age, gender, race, religion, national origin, sexual orientation, veteran status or any other legally protected characteristic.
What type of position are you seeking?
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Paid
Volunteer
Basic Information
Full Name
*
First Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
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State
Zip Code
Email Address
*
Phone Number
*
-
Area Code
Phone Number
Emergency Contact
First Name
Last Name
Emergency Contact
-
Area Code
Phone Number
Date available to start
*
-
Month
-
Day
Year
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Have you been convicted of a crime in the past ten years?
*
yes
no
Other
Explain
Which paid position(s) are you seeking?
*
Temporary Part Time (like a summer job)
Part time job < 10 hours / week
Part time job 10 - 20 hours / week
Part time job 20 hours or more per week
WorkOne Work Experience or on the job training etc.
Transitional Work Solutions, Cascade, etc.
Experience Works
Jennings Co. High School Intern (Marketing program)
College Intern
Other
Which volunteer position(s) are you interested in?
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Jennings Co. High School Intern (Intern program)
College Intern
Volunteer 1-4 hours / week
Volunteer 4-8 hours / week
Volunteer 8+ hours / week
Court ordered community Service
Campaign Volunteer
VITA Program (Volunteer Income Tax Assistance)
general office work
grounds work / yardwork
building maintenance
Other
Probation officer
First Name
Last Name
Probation Officer
-
Area Code
Phone Number
Are you still in high school? What year will you graduate?
No, I have graduated.
Other
Skills & Experience
*
Describe skills / experience / knowledge in these areas
Customer Service
Computer Literacy - Windows, email
Microsoft Office - Word
Microsoft Office - Excel
Microsoft Office - Other (Publisher, etc)
Communications
Fundraising
JC United Way Programs
Typing Speed
livechat.com/typing-speed-test
Education
*
School Name and location - City and state
High School
GED
Trade School
College
Other
Optional—resume
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Employment History
*
Yes
No
Are you currently employed and working?
Are you currently laid off, but
expect to be called back to work?
May we contact your current employer?
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Current
/ most recent employer
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Hire Date
Termination Date
Company Name
phone #
Address
City, State & zip
reason for leaving
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Previous
employer
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Hire Date
Termination Date
Company Name
phone #
Address
City, State & zip
reason for leaving
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Previous
employer
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Hire Date
Termination Date
Company Name
phone #
Address
City, State & zip
reason for leaving
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Previous
employer
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Hire Date
Termination Date
Company Name
phone #
Address
City, State & zip
reason for leaving
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Previous
employer
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Hire Date
Termination Date
Company Name
phone #
Address
City, State & zip
reason for leaving
References
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P e r s o n a l R e f e r e n c e # 1 - - - - - - - - - -
Name
email
phone #
Address
City, State & zip
Relationship
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P e r s o n a l R e f e r e n c e # 2 - - - - - - - - - -
Name
email
phone #
Address
City, State & zip
Relationship
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P e r s o n a l R e f e r e n c e # 3 - - - - - - - - - -
Name
email
phone #
Address
City, State & zip
Relationship
What else would you like us to know?
List your availability, class schedule or anything else you want to share.
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