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  • Area Representative Application

  • Gender:*
  • Is your physical address the same as your mailing address?*
  • Do you have a home phone/landline?*
  • Format: (000) 000-0000.
  • Do you have a cell phone?*
  • Format: (000) 000-0000.
  • May we contact you by text?*
  • Do you have a fax?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you authorized to lawfully work in the U.S.?*
  • We require that all of our Area Representatives be at least 21 years old. Are you 21 years of age or older?*
  • Education Level:*

  • As a non-profit organization working with minors, you will be required to undergo a criminal background check. Have you ever been convicted of a felony or misdemeanor?*
  • Have you ever had contact with Child Protective Services in the past?*
  • Do you currently work or volunteer for any of the local schools in a coaching, teaching or administrative capacity?*
  • Are you currently employed?*
  •  -

  • Please list your last 3 employers below, if applicable.

  • Have you ever worked for another exchange organization, either as a local representative/coordinator or in another position?*
  • Have you every hosted an exchange student?*
  • Do you have any previous experience working with teenagers?*
  • Do you speak any foreign languages?*
  • Do you currently perform or have you in the past performed any volunteer work in your community?*

  • REFERENCES:

    Please provide the names of at least three persons not related to you whom you have known for at least two years. If you have worked as an area representative for another exchange organization in the past, please provide at least two references from schools, host families or program directors that you have worked with.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • I certify that the information contained in this application is true and complete to the best of my knowledge, and I understand that, if hired as an Area Representative, falsified statements on this application shall be grounds for dismissal. I authorize the investigation of all statements contained herein, and the references listed above to give you any and all information concerning my previous employment. I understand and agree that, if hired, it is for no definite period and may, regardless of the date of my compensation, be terminated without prior notice.

  • Date
     - -

  • 10810 N. Tatum Boulevard, Suite 102-845      Phoenix, AZ  85028      www.arise-usa.org

    Toll-Free: 1-877-6-ARISE-6      Phone: (602) 641-9699      Email: info@arise-usa.org

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