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
Your answer
Email *
Your answer
Phone Number *
Your answer
Address *
Street, City, State, Zip
Your answer
Emergency Contact (Name and Phone) *
Your answer
Relationship
Your answer
Which position(s) are you interested in? *
Required
Area of Interest? *
Your answer
Date of Availability? *
MM
/
DD
/
YYYY
Days Available? Please explain scheduling needs. *
Your answer
Times Available? *
Do You Need Credit for Your Service? *
Required
How many hours total do you need per week?
Your answer
References (Minimum of 3) *
Your answer
Submit your cover letter or resume *
Your answer
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
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Summit International dba LYDIA, Inc..