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  • Boys & Girls Club of Garfield Employment Application

  • GENERAL INFORMATION
  • Date of Birth
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  • Upload a File
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  • Which of the two sites we service at are you interested in working at?
  • Are you 18 Years or Older?*
  • Are you authorized to work lawfully in the United States?*
  • Have you ever been convicted of a felony or misdemeanour?*
  • CONTACT INFORMATION
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  • TRANSPORTATION
  • Do you have a Driver's License?*
  • Proof of Insurance?*
  • AVAILABILITY
  • Date Available*
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  • Employment Desired*
  • Please indicate the types of services you have experience providing
  • INTERESTS & HOBBIES
  • Please indicate the activities you enjoy and / or able to teach to someone else*

  • EDUCATION
  • Rows
  • WORK HISTORY
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  • _______________________________________________________________________________________
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  • PERSONAL REFERENCES

  • Child Abuse Record Information (CARI) Consent Form

    State of New Jersey, Department of Children & Families Office of Licensing

  • Date:*
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  • Boys & Girls Club of Garfield

    Center Address: 490 Midland Ave. Garfield, NJ 07026
  • Pronouns*

  • Date of Name Change
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  • Date of Birth*
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  • Race*

  • Ethnicity*

  • Sex*
  • Gender*

  • Children Information

    Please list the full names and birth dates of your children, in any, whether living with you or not:
  • Date
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  • Date
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  • Date
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  • Date
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  • Date
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  • Date
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  • Previous Addresses

    Your previous addresses since 1990 and the dates you lived at each address:
  • Reside From
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  • Resided Till
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  • Reside From
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  • Resided Till
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  • Reside From
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  • Resided Till
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  • Reside From
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  • Resided Till
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  • Employee Verification Consent Form

    This form is to consent to a representative for the Boys & Girls Club of Garfield to contact any employer listed on this application or attached resume to confirm the length of employment, employment status, salary rate, job title, and any additional information regarding the candidate's performance.

  • I consent to a representative for the Boys & Girls Club of Garfield to contact any employer listed on this application or attached resume to confirm the length of employment, employment status, salary rate, job title, and any additional information regarding my performance.

  • Please select one

  • All persons completing this form must read the following and sign below:

    I consent to have the Department of Children and Families conduct a Child Abuse Record Information check to determine whether an allegation of child abuse of neglect has been substantiated against me. I certify that I am not currently being investigated for an allegations of child abuse or neglect. I understand that if a record of substantiated child abuse or neglect is found, of it I refuse to sign this consent form, I will not be permitted to sponsor or work at this or any other licensed child care center in New Jersey. I certify that all information I have given on this form is accurate and complete to the best of my knowledge.
  • Date
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