Name *

First Name

Last Name

Are you willing to undergo a background check? *

Yes

No

Do you have a laptop computer and are you willing to use it for presentations? *

Yes

No

Do you have reliable transportation? *

Yes

No

Availability | Weekday Mornings (7 a.m. - 12 p.m.) *

Select all that apply.

Monday

Tuesday

Wednesday

Thursday

Friday

Availability | Weekday Afternoons (12 p.m. - 5 p.m.) *

Select all that apply

Monday

Tuesday

Wednesday

Thursday

Friday

High School Diploma

Undergraduate Degree

Graduate Degree

Other (Please explain in the comments.)

Reference 1 *

First Name

Last Name

Phone *

(###)

###

####

Reference 2 *

First Name

Last Name

Phone *

(###)

###

####

Have you ever been convicted of a crime? *

Yes

No

Are you currently on probation? *

Yes

No

Are you currently under indictment or charged in an official criminal complaint accepted by a district or county attorney with a misdemeanor or felony? *

Yes

No

Have you ever been prohibited from serving in any capacity (as an employee or volunteer) or asked to leave any position involving contact with children? *

Yes

No