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?
*
Please Select
Social Media
Flyer
Walk-In
Friend
Other
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?
*
What days and times are you available to work?
*
Available
Time of Day
Time
Monday
Yes
No
Mornings
Afternoon
Evenings
Open
Tuesday
Yes
No
Mornings
Afternoon
Evenings
Open
Wednesday
Yes
No
Mornings
Afternoon
Evenings
Open
Thursday
Yes
No
Mornings
Afternoon
Evenings
Open
Friday
Yes
No
Mornings
Afternoon
Evenings
Open
Saturday
Yes
No
Mornings
Afternoon
Evenings
Open
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!
Submit
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