Local Coordinator Application
Contact Information
First Name
*
Last Name
*
City
US State
*
Alabama
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Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
E-mail
*
Preferred Phone #
*
Format: (000) 000-0000.
Secondary Phone #
Format: (000) 000-0000.
How did you hear about us?
*
Please select....
idealist.org
volunteermatch.org
Internet
Friend
School
Coordinator
Reference
Other.
Basic Information
Gender
Male
Female
Other
Are you at least 25 years old?
*
How many years have you lived in your community?
Are you enthusiastic about working with people in your local community?
*
Yes
No
Do you have experience and or have the ability to work with and oversee teenage youth?
*
Yes
No
You understand this work is based from home and it is not required to work in an office?
*
Yes
No
Do you have good communication skills, timely response and follow up?
*
Yes
No
Are you willing to submit to a Criminal Background Check?
*
Yes
No
Are you proficient with completing paperwork, ie: computer skills, scanner?
*
Yes
No
Do you understand this is an independent contractor position?
*
Yes
No
I certify that I am authorized to work in the United States.
*
I Agree
Anything else you would like to add?
Resume (Optional)
Resume (if available)
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