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.
Sign in to Google to save your progress. Learn more
Email *
Name *
First and last name
Email *
Phone Number *
Address *
Street, City, State, Zip
Emergency Contact (Name and Phone) *
Which position(s) are you interested in? *
Area of Interest? *
Date of Availability? *
Days Available? Please explain scheduling needs. *
Times Available? *
Do You Need Credit for Your Service? *
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. *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Summit International dba LYDIA, Inc..