Name*

Email Address*

Phone Number*

Position Applying For*

—Please choose an option—Program SupervisorSkills Trainer

Type of Employment Desired*

—Please choose an option—Full time (30-40 hours/week)Part time (10-28 hours/week)

This job requires driving to see clients. Do you have a valid California Driver's License?*

yesno

Our insurance requires that our drivers be age 21 or over. Are you at least 21?*

yesno

If hired, would you have a reliable means of transportation?*

yesno

What is the highest level of education you have completed?*

—Please choose an option—GEDHigh SchoolSome College or Community CollegeAssociate's DegreeBachelor's DegreeMaster's DegreeDoctoral Degree

Do you have any work or volunteer experience with children (this could include babysitting, helping care for siblings, coaching, etc.)*

yesno

Please provide your availability to work if hired (enter "unavailable" if applicable):*

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Please list 2-3 dates and times that you would be available for an interview. Please note that the interview can be anywhere from 30-60 minutes.*

How did you find out about us?*

—Please choose an option—Facebook AdCraigslistIndeedCollege/UniversityZipRecruiterLinkedinGlassdoorClient ReferralEmployee ReferralOther

If you selected "Other" please specify: