Application for Employment Application For Employment 12345678 Getting StartedBefore you start your Kids’ Corps Inc. Employment Application please read this page to completion. A paper application may be provided upon request. To make sure you meet the qualifications of the position you would like to apply for, please read the entire job description before submitting an application. You may contact our HR department with any questions you have regarding a position. All Applicants are subject to the following to be considered for an interview: Be willing to undergo a state and federal fingerprint based background check. Provide two or more required references. Provide a copy of proof of education on applicable positions. Provide a copy of Driver’s License & proof of insurance on applicable positions. Understand and speak English at a basic level. References Kids’ Corps, Inc. requires a minimum of two reference forms to be submitted before consideration of selection for an interview and three upon hire. We will accept more than three references but cannot accept fewer than three. The applicant will need to list an email for each person of reference so that they can receive a link to our reference submission page. References must fill out the official online KCI reference form to completion. Persons of reference may also submit a letter of recommendation in addition to the required reference form. If one of your persons of reference is unable to complete an online submission they may download and print the PDF version provided under the Online Application button. Once filled out they can fax, scan, email, or hand-deliver completed references to: Kids’ Corps, Inc. 101 Davis St. Anchorage, AK. 99508 Phone: (907) 279-2021 Fax: (907) 222-0978 Please call to submit by email. Education Applicants must submit all required proof of education related to the position they are applying for before consideration of selection for an interview. Required education may include High School Diploma, GED, or Unofficial College Transcripts. Please read the job description for the required education level needed. Application Follow Up Once you have submitted your application please be patient so our HR department can review and follow up on your application. If we are still missing references or education documents, one of our HR team members will follow up with you. If we do not receive all required documents and references, you may receive a courtesy phone call or email of what still needs to be submitted in order to be considered for an interview. Interview Process If you are selected for an interview, someone from the interview team will contact you to see if you are still interested and set up a meeting. In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age or disability. Name* First Middle Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneMobile Phone*Work PhoneEmail* 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) EducationDo 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)* Enter Other Certificate(s) or Credential(s)Have you completed a degree or are in the process of obtaining one?* Degree obtained In the process of obtaining a degree No degree College/University and Location* Area of Specialization* Degree* Do you have a secondary degree or are in the process of obtaining one? Yes No College/University and Location* Area of Specialization* Degree* Please attach your proof of education hereMax. file size: 50 MB.If you are unable to attach your proof of education, please explainEnglish Reading Proficiency* Proficient Moderate Little None English Writing Proficiency* Proficient Moderate Little None English Speaking Proficiency* Proficient Moderate Little None Other Language Proficiency Other Reading Proficiency*Select One...ProficientModerateLittleNoneOther Writing Proficiency*Select One...ProficientModerateLittleNoneOther Speaking Proficiency*Select One...ProficientModerateLittleNone Answering the questions below does not automatically disqualify you from employmentHave 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-YearsHave you been employed in the last 5 years? Yes No Start with your most recent history. Please DO NOT state “see resume”. This page must be complete. Job 1 (Most Recent)Started Date* MM slash DD slash YYYY Ended Date* MM slash DD slash YYYY Employer Name* Employer City/State* Position Held* Reason for Leaving* Job 2Started Date MM slash DD slash YYYY Ended Date MM slash DD slash YYYY Employer Name Employer City/State Position Held Reason for Leaving Job 3Started Date MM slash DD slash YYYY Ended Date MM slash DD slash YYYY Employer Name Employer City/State Position Held Reason for Leaving Job 4Started Date MM slash DD slash YYYY Ended Date MM slash DD slash YYYY Employer Name Employer City/State Position Held Reason for Leaving Job 5Started Date MM slash DD slash YYYY Ended Date MM slash DD slash YYYY Employer Name Employer City/State Position Held Reason for Leaving Did you have any breaks in employment?* Yes No Please explain why you were not previously employed. Start Date* MM slash DD slash YYYY End Date* 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)* Please explain any breaks in employment.Start Date MM slash DD slash YYYY End Date 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 MM slash DD slash YYYY End Date 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 AbilitiesPlease 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 ExperiencesPlease 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.) Before we can consider you for selection of an interview and to ensure we obtain all required references, we will automatically email your persons of reference a link to our Reference Form to fill out on your behalf. References may NOT BE RELATED to the applicant and must fill out the official online KCI reference form to completion. The person applying for the position may not fill out their own reference forms. If the applicant is unable to provide the full name, phone number, address and email of their persons of reference please obtain all needed information before submitting this application. 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 QuestionsReference 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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands 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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone* Additional Documents Drop files here or Select files Accepted file types: doc, docx, pdf, Max. file size: 50 MB. 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
