Application for Employment

Application For Employment

1

2

3

4

5

6

7

8

Getting Started
References
Kids’ Corps, Inc. will need at least three reference forms returned. We will accept more than three but cannot accept fewer. Please use ONLY reference forms enclosed in this packet. You may attach reference letters in addition to the required reference forms. Fax, scan, email, or hand-deliver completed references to Kids’ Corps.

Education
Submit proof of education such as HS Diploma, GED, or College Transcripts with your application.

Interview Process
- If you are selected for interview, the recruitment coordinator for the position will contact you.
- If selected for interview, bring a report that contains criminal justice information at the level available to an interested person under AS 12.62.160 (b) (9) to the interview. This report is available at:
  - State of Alaska Department of Public Safety, 5700 East Tudor Road between the hours of 8:30 and 4:00, Monday through Friday
    - Bring two pieces of ID with signature on it (Driver’s License, State ID, Passport, Credit Card, Military ID, etc.)
    - Pay $20.00 in cash or check from an Alaskan Bank
  Be sure to THOROUGHLY complete the application packet. Resumes may be attached for review by the Interview Committee; however, applications must be completed entirely.
  
  After Interview, an applicant may not receive word of their status for up to two weeks.
  
  All offers of employment are contingent upon approval of the Kids’ Corps, Policy Council.

Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Mobile Phone*
Work Phone
Email*
Position(s) you are interested in:*
Are you over the age of 18?*
- Yes
- No
(positions working with children require the applicant to be at least 18 years of age)

Education
Do you have a High School Diploma or GED?*
- Yes
- No
Do you have other certificates or credentials?
- CDA
- Teaching Certificate
- AK CDL
- CNA
- LPN
- RN
- CPA
- PHR
- SPHR
- Social Worker License
- Other
*
Enter Other Certificate(s) or Credential(s)
College/University and Location
Area of Specialization
Degree
College/University and Location
Area of Specialization
Degree
College/University and Location
Area of Specialization
Degree
English Reading Proficiency*
English Writing Proficiency*
English Speaking Proficiency*
Other Language Proficiency
Other Reading Proficiency*
Other Writing Proficiency*
Other Speaking Proficiency*

Answering the questions below does not automatically disqualify you from employment
Have you ever been CHARGED with a crime of violence? (even if you never went to court)*
- Yes
- No
Please explain*
Have you ever been CHARGED with a crime of sexual abuse? (even if you never went to court)*
- Yes
- No
Please explain*
Have you ever been CHARGED with a felony crime? (even if you never went to court)*
- Yes
- No
Please explain*
Have you ever had a child for whom you were responsible removed from your custody?*
- Yes
- No
Please explain*
Have you or a child in your home ever received on-going protective services in your home?*
- Yes
- No
Please explain*
Have you ever been investigated by the Office of Children’s Services for suspected child abuse/neglect?*
- Yes
- No
Please explain*
Any traffic or other offenses with a fine of $250 or more?*
- Yes
- No
Please explain*
If you have answered yes to any of these questions, please provide an explanation on a separate sheet of paper. How to provide these instructions will be available at the end of this application.
Have you ever been licensed to care for adults or children by a municipal, state, federal, or other agency?*
- Yes
- No
If yes, type of license:*
Location:*
Were you ever denied a license?*
- Yes
- No
Have you ever had a license revoked?*
- Yes
- No
Some positions at Kids’ Corps require the employee to drive. Do you have a current driver’s license?*
- Yes
- No
DL #*
State*

Employment History/Whereabouts Last 5-Years
Start with your most recent history. Please DO NOT state “see resume”. This page must be complete.
Job 1
Started Date
Date Format: MM slash DD slash YYYY
Ended Date
Date Format: MM slash DD slash YYYY
Employer Name
Employer City/State
Position Held
Reason for Leaving
Job 2
Started Date
Date Format: MM slash DD slash YYYY
Ended Date
Date Format: MM slash DD slash YYYY
Employer Name
Employer City/State
Position Held
Reason for Leaving
Job 3
Started Date
Date Format: MM slash DD slash YYYY
Ended Date
Date Format: MM slash DD slash YYYY
Employer Name
Employer City/State
Position Held
Reason for Leaving
Job 4
Started Date
Date Format: MM slash DD slash YYYY
Ended Date
Date Format: MM slash DD slash YYYY
Employer Name
Employer City/State
Position Held
Reason for Leaving
Job 5
Started Date
Date Format: MM slash DD slash YYYY
Ended Date
Date Format: MM slash DD slash YYYY
Employer Name
Employer City/State
Position Held
Reason for Leaving
Please explain any breaks in employment.
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Explanation of what you were doing (i.e. in college, stayed at home to assist my mother, still finishing high school, etc.)
Location (City/State or country)
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Explanation of what you were doing (i.e. in college, stayed at home to assist my mother, still finishing high school, etc.)
Location (City/State or country)
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Explanation of what you were doing (i.e. in college, stayed at home to assist my mother, still finishing high school, etc.)
Location (City/State or country)

Other Skills and Abilities
Please list any other skills you have that may assist you in the position you are applying for (i.e. “fluent in Spanish”, “able to communicate in sign language”, “able to organize large projects”, “proficient in the use of Microsoft Excel”, “filing”, etc.)
Other Experiences
Please list any other experience you have had in related types of work (i.e. “volunteered in a pre-school summer camp”, “assisted adults with tax form preparation”, etc.)

An email will be automatically sent to your references if an email address is provided. If email is not available, please use the linked form and provide them to references that can complete them FULLY. References may NOT BE RELATED to you. Please use the boxes below to list who you provided the forms to in case KCI needs to follow-up on a reference provided.

Downloadable Reference Form

I authorize the person(s)/company named below to provide Kids’ Corps, Inc. with pertinent information they may have regarding employment, including my reasons for leaving. My signature at the end of this application signifies my voluntarily action. I understand that you will request the person(s)/company named respond to this reference inquiry with full and complete information and I have had an opportunity to view the reference questions that will be asked.

Reference Questions
Reference 1 Name
First Last
Reference 1 Email
Reference Type
- Personal
- Professional
- School
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Reference 2 Name
First Last
Reference 2 Email
Reference Type
- Personal
- Professional
- School
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Reference 3 Name
First Last
Reference 3 Email
Reference Type
- Personal
- Professional
- School
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone

Additional Documents
Drop files here or

Accepted file types: doc, docx, pdf.
Please attach a copy of your résumé and proof of education such as HS Diploma, GED, or College Transcripts.
By typing my name in the field below, I certify that the information provided in this application packet contains no willful misrepresentation or falsification and that the information given by me is true and complete to the best of my knowledge.
Electronic Signature*
CAPTCHA

Footer

We accept applications year-round. Request Info Apply Now

Brochure and application for the Alaska Head Start Association (AHSA) Alaska Head Start Brochure & Application

Top

Sundog Media, LLC.

Application For Employment

Getting Started

References

Education

Interview Process

Education

Employment History/Whereabouts Last 5-Years

Job 1

Job 2

Job 3

Job 4

Job 5

Please explain any breaks in employment.

Footer