Employment Application Form

Employment and Volunteer Application

Please fill out the form below.
Name

First NameLast Name
Birth Date

MonthDayYear
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position applying for: ~All positions are PART TIME~

Other
Shifts preferred- All shifts will be part time between these hours.

Other
AVAILABILITY: Our program requires consistent scheduling to provide stability and structure for the youth we serve. Please indicate the days and times you are consistently available to work during a 14-day work cycle.
Have you ever been convicted of a felony or misdemeanor?
If "Yes" please explain (include date, charge, and outcome)::
***NOTE: A conviction will not automatically disqualify you from employment. Each situation will be reviewed based on the nature of the offense, the time elapsed, and its relevance to the position applied for.
How were you referred to us?
Resume and Files (if available)

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Why are you interested in working for or volunteering with Kaylyn's House of Joy?
What prior experience do you have working with at-risk youth, foster care youth, and young adults?
Training and Certifications
Do you have reliable transportation?
Do you have valid car insurance for youth transportation? NOTE: This does not disqualify you from employment.
References

Please list two (2) references that are familiar with your work life.
Reference
Reference
Just a FYI!

***Employment is contingent upon successful completion of all required background checks, including but not limited to state and federal criminal background checks, child abuse/neglect checks, and any other requirements mandated by regulatory agencies. ***Questions or Concerns: If you have any questions, comments, or concerns, please email robbiej@kaylynshouseofjoy.org.
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Employment and Volunteer Application

Just a FYI!