Application
Thank you for your interest in working with LYDIA, Inc. Please fill out the questionnaire below. We will get back to you as soon as possible.
Email address *
Name *
First and last name
Email *
Phone Number *
Address *
Street, City, State, Zip
Emergency Contact (Name and Phone) *
Relationship
Which position(s) are you interested in? *
Required
Area of Interest? *
Date of Availability? *
MM
/
DD
/
YYYY
Days Available? Please explain scheduling needs. *
Times Available? *
Do You Need Credit for Your Service? *
Required
How many hours total do you need per week?
References (Minimum of 3) *
Submit your cover letter or resume *
All information concerning clients, former clients, staff, volunteers, financial data, and business records of LYDIA, Inc. is confidential. “Confidential” means that you are free to talk about LYDIA, Inc. and about your program and your position, but you are not permitted to disclose clients’ names or talk about them in ways that will make their identity known. No information may be released without appropriate authorization. This is a basic component of client care and business ethics. The board of directors, staff and our clients rely on paid and volunteer staff to conform to this rule of confidentiality. LYDIA, Inc. expects you to respect the privacy of clients and to maintain their personal and financial information as confidential. All records dealing with specific clients must be treated as confidential. Failure to maintain confidentiality may result in termination or other corrective action. *
Required
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This form was created inside of Summit International dba LYDIA, Inc..