Employment Application/Community Partner Form

Which Position Would You Like To Apply?

Recess Coordinator Community Partner "Extra Hands" Team Coach/Referee Volunteer Camp Counselor Other
Community Partner Form

Thank you for your interest in partnering with Recess CLE. To qualify for consideration as a partner agency, you must complete the form below.
Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Phone Number *
Please enter a valid phone number.
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How did you hear about us? *
Email *
example@example.com
Name of Program *
Program Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Program Website *
Organization Mission Statement *
Program Description *
Starting Rate
Cost of Program Per Hour *
Equipment needed for program *
Do your provide your own equipment or would you need our assistance?
Start Date *

Month Day Year
What date are you available to start work?
Availability

All shifts Monday Mornings Monday Afternoons Monday Evenings Tuesday Mornings Tuesday Afternoons Tuesday Evenings Wednesday Mornings Wednesday Afternoons Wednesday Evenings Thursday Mornings Thursday Afternoons Thursday Evenings Friday Mornings Friday Afternoons Friday Evenings Saturday Mornings Saturday Afternoons Saturday Evenings Sunday Mornings Sunday Afternoons Sunday Evenings
Availability
Available hours per week? *

Do you have any experience working with children? *

Yes No
If yes, how much experience?

Less than 1 year 1-3 years 3-5 years More than 5 years
Have you ever played sports for a team? *

Yes No
If yes, which sport/s did you play?
Do you have any warehouse experience? *

Yes No
If yes, how much experience?

Less than 1 year 1-3 years 3-5 years More than 5 years
Do you have any experience teaching/coaching sports? *

No Yes
If yes, how much experience?

Less than 1 year 1-3 years 3-5 years More than 5 years
Are you interested in learning more about Recess Leagues? *

No Yes, I'd like to know more information. No, just sign me up!
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