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Healthy Visions' Position Application
I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. 
Email *
I authorize the verification of any or all information listed below.
 *
First, Middle, and Last Name *
Preferred Name
Phone number *
Are you eligible to work in the United States? *
Have you ever been charged or convicted for a crime against a child, youth, or minor? *
Have you ever been convicted of or plead no contest to a felony? *
If yes, please explain:
How confident are you speaking to a room of 10 to 30 youth (ages 11-19)? *
Not confident
Always conifdent
How confident are you speaking to a room of 100 to 300 youth (ages 11-19)? *
Not confident
Always confident
Please list any skills, training, education, calling, gifts, or other factors that have prepared you for working with youth (ages 11-19)? *
What age group do you most enjoy working with? (Check all that apply) *
Required
AVAILABILITY: 
Our working/program implementation hours are Monday - Fridays 7AM - 7PM.  What hour blocks are you available?  (Check all that apply)
 *
Required
AVAILABILITY:
What date are you available to start work? *
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Educational Background (Check all that apply) *
Required
Please email a copy of your resume to dwhite@healthyvisions.org.  
May we contact your previous employer(s)?
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Please provide three personal references. please include name, relationship, & phone number. *
Please share in just a few sentences what are the most difficult challenges you believe youth (ages 11-19) experience?   *
Please share in just a few sentences what solutions you believe are effective in aiding youth (ages 11-19) in overcoming their challenges of today.  *
Any additional information that you would like to share? (Optional)
A copy of your responses will be emailed to the address you provided.
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