Request edit access
Administrative Employment Application
By completing this application you attest the information provided to be true to the best of your knowledge.
Email address *
Name *
First and last name
Other names by which you have been known *
Current Address *
Previous Address *
Phone number *
Driver's License State and Number *
Are you currently employed *
Can we contact your current employer? *
Date You Can Begin *
MM
/
DD
/
YYYY
Salary Desired *
Employment Sought *
Are you legally able to work in the United States? *
Are you 18 years old or older?
Clear selection
Do you have a high school diploma or equivalent? *
Do you have a college degree? *
If you have a degree, please list NAME of INSTITUTION, TYPE of DEGREE and DATE DEGREE was RECEIVED.
Please list your most recent employment history, providing the NAME of EMPLOYER, JOB TITLE, DUTIES, DATES of EMPLOYMENT and PAY RATE. *
Please list your next most recent employment history, providing the NAME of EMPLOYER, JOB TITLE, DUTIES, DATES of EMPLOYMENT and PAY RATE. *
Please list your next most recent employment history, providing the NAME of EMPLOYER, JOB TITLE, DUTIES, DATES of EMPLOYMENT and PAY RATE. *
Please list your next most recent employment history, providing the NAME of EMPLOYER, JOB TITLE, DUTIES, DATES of EMPLOYMENT and PAY RATE. *
References: Please list THREE individuals (not related to you) who are familiar with your work related skills. Include their NAMES, COMPANIES, PHONE NUMBERS, EMAIL ADDRESSES and YEARS ACQUAINTED. *
Do you have current First Aid certification? *
Do you have current CPR certification? *
Do you have administrative experience? If so, please describe. *
How did you hear about this position? *
Please describe why you are interested in working for CFCI. *
Are you comfortable using computers? Please briefly describe your experience. *
Do you have experience with ABA Therapy or autism? If so, please describe. *
Describe your overall availability. i.e. weekends, morning, etc. *
Please describe how you handle stressful situations. *
Please describe how you work independently within a team. *
What are your career goals? *
Please provide an emergency contact with a phone number: *
By checking this box, I hereby certify that all entries in this application and any attachments are true and complete, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part of any employment with Consultants for Children, Inc. I understand that all information on this application is subject to verification and I consent to criminal history background checks. I also consent to references and former employers and educational institutions listed being contacted regarding this application. I further authorize Consultants for Children, Inc. to rely upon and use, as it sees fit, any information received from such contacts. Information contained on this application may be disseminated to other agencies, nongovernmental organizations or systems on a need-to-know basis for good cause shown as determined by the agency head or designee. *
Required
Today's Date *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This form was created inside of Consultants for Children, Inc.. Report Abuse