J Staff Application.

Name *

First Name

Last Name

Gender *

Male

Female

Prefer Not to Disclose

Birth Date *

MM

DD

YYYY

Will you be at least 16 years old by June 1, 2022? *

Yes

No

I am currently a: *

in High School

1st year undergrad

2nd year undergrad

3rd year undergrad

4th year undergrad

5th year + undergrad

Not in School

If hired, will you commit to reading all of the prep materials sent to you? *

Yes

No

Are you available June 27-July 4, July 11-18, & July 25-August 1? *

Yes

No

If hired, will you commit be being present for a 1-day training in June? *

Yes

No

Have you ever been convicted of or pleaded guilty to a crime, either a misdemeanor or a felony including, but not limited to, drug-related charges, child abuse, other crimes of violence, theft, or motor vehicle violations? *

Yes

No

Have you ever been convicted of or pleaded guilty to any sex-related or child abuse offense in any previous employment or volunteer activity? *

Yes

No

CCC prohibits the use, sale, or trafficking of illegal drugs; the use of prescription drugs used for other than their intended purposes; and the abuse of or illegal consumption of alcohol by employees. This is considered in effect from the moment a prospective employee accepts a position and lasts until the end of his/her employment. The Executive Director or Board may call for drug testing of any employees, at any time for employment period, for any reason. Will this policy present any problems for you? *

Yes

No