2019 Tidal Wave Transitional Retreat STAFF APPLICATION
Thank you for your interest to become a staff member of the 2019 Tidal Wave Transitional Retreat Team. To become a staff member, please submit this application. You will be contacted for an interview by our Retreat Director, Jill Waddell. If selected, you will be asked to:

1. Submit all of the required paperwork (Medical Form, Copy of Immunizations, Staff Agreement, Background Check Form, References) by the specified deadlines.
2. Pass Criminal Background, Sex Offender and Reference checks.
3. Supply written record of your immunizations.
4. Stay the entire duration of retreat: July 13 - 19, 2019--(which includes the mandatory staff training).
5. Abide by all rules and policies set forth by The Tulane Tidal Wave Retreat Leadership.
For questions, contact Jill Waddell at TidalWaveRetreat@gmail.com

Thank you for your support!

Applicant's Name
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Gender
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Age
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Permanent Address
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City
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State
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Zip
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School or Other Address
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City
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State
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Zip
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If this is a school address, until when can you be reached at this address?
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Home Phone
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Best Time to Reach You by Phone
Email Address
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Why are you interested in being a volunteer
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How did you hear about us?
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Do you belong to an organization that you can assist us with recruiting others to possibly become staff members? What is name of organization? Are you willing to make a presentation/ do a social media post/ an announcement...?
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Have you been convicted of a crime?
If yes, please explain.
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Education
Please list most recent school first. Include dates attended, school, major and degree.
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Employment
Please list most recent job first. Include dates worked, employer, phone number and nature of work.
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Volunteer and/or Camp Experience
Include dates volunteered, organization, phone number and nature of work.
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Please list any special skills, hobbies that you think can enhance our retreat experience
(musical talent, sports, story telling, art.....)
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Certification
Place a check next to any area in which you are currently certified. A copy of your certification will be required.
Have you been diagnosed with a bleeding disorder?
If yes, please indicate which diagnosis
Briefly describe history of bleeds
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Authorization: I hearby authorize the leadership of the Tulane Tidal Wave Transitional Retreat to investigate all statements herein and release the retreat organizers, sponsors, partners, individuals involved and others from liability in connection with the same. I understand that untrue, misleading or omitted information herein may result in my dismissal. I authorize the leadership of the Tulane Tidal Wave Transitional Retreat to conduct a criminal background check, as required by law of all childcare workers.
Place a check in the box if you agree to the above statement.
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