Staff Application: Alternative Learning Environment

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First and Last Name

Are you 18 or older?
*

Yes

Address *

Phone number(s) *

Emergency Contact *

Email Address *

Position(s) *

Academics lead or assistant

Life Skills (cooking, sewing, gardening, shop) lead or assistant

Creative Arts (art, theater, music) lead or assistant

Genral Staff/Student Supervisor

Field Trip Chaperone or Coordinator (Fridays only)

Recreation (exercise/active games) lead or assistant

Cooking/Kitchen Staff

Events and Fundraising

Other:

Availability in scheduling

Monday

Tuesday

Wednessday

Thursday

Friday

7am

8am

9am

10am

11am

12am

1pm

2pm

Clear selection

Are you able to volunteer, or will a stipend be needed for your time?
*

Volenteer

Stipend needed

Unsure

Other:

Experiences (Personal/Work) *

Hobbies *

Educational Background *

Degrees/Certificates *

Other

Reference 1 (name, relationship, phone number)

Reference 2 (name, relationship, phone number)

Reference 3 (name, relationship, phone number)

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