Application for Employment
Refuge for Women - Chicago
Date
MM
/
DD
/
YYYY
Name *
First
Your answer
*
Middle
Your answer
*
Last
Your answer
Mailing Address *
Street Address
Your answer
Street Address 2
Your answer
*
City
Your answer
*
State
Your answer
*
Zip
Your answer
Best phone number to reach you: *
Your answer
Email Address *
Your answer
Driver's License Number *
Your answer
Position Applying For *
Your answer
Referred by:
Friend:
Your answer
Relative:
Your answer
Refuge for Women Staff Member:
Your answer
Other:
Your answer
When would you be available to start? *
Other:
Your answer
If you are applying for a City Director or Development Director position, please send a video cover letter to refugeweb@refugeforwomen.org (Max file size 30 MB, does not need to be a professional video)
Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment) *
Are you at least 18 years of age or older? *
Have you been convicted of a crime other than a minor traffic violation? (A conviction will not necessarily result in the denial of employment): *
If yes, please explain:
Your answer
Have you ever worked at Refuge for Women before? *
If yes, please provide details (where/when/job title):
Your answer
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? *
If no, please explain:
Your answer
Do you use social media? *
If yes, please provide us your Facebook, Twitter, and/or Instagram names:
Your answer
Office Skills
List software programs you have used and your competence with each:
Your answer
Additional Skills
Education
High School
Name
Your answer
City/State
Your answer
*
Did you graduate?
Describe any specialized training, apprenticeships, skills, honors and extra-curricular activities:
Your answer
College/University
Name
Your answer
City/State
Your answer
Years Complete
Diploma/Degree
Your answer
Course of Study
Your answer
Describe any specialized training, apprenticeships, skills, honors and extra-curricular activities:
Your answer
Graduate/Professional
Name
Your answer
City/State
Your answer
Years Completed
Diploma/Degree
Your answer
Course of Study
Your answer
Describe any specialized training, apprenticeships, skills, honors and extra-curricular activities:
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Refuge For Women. Report Abuse - Terms of Service