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Children's Charities, inc Trainee & Staff Application

Disclosures: Have you ever been convicted of a felony or misdemeanor offense for

Possession, use, or transfer of alcohol

Possession, use, or transfer of alcohol

Possession, use, or transfer of illegal drugs

Possession, use, or transfer of illegal drugs

Crimes in which the victim or accomplice was a minor

Physical or sexual abuse of anyone, or condoned such abuse by others

Creation, possession, use, or transfer of pornographic materials

Any other offense not mentioned above

Has any civil, criminal, or adverse action been taken by any organization, school, church, or childcare center against you while you were employed or volunteering?

To the best of your knowledge and belief are there any facts or circumstances involving you that would question entrusting you with supervision, guidance, and care of others?

I certify that the information provided is true and complete to the best of my knowledge. I authorize the investigation of all information provided, including the investigation of all current and prior employment listed above, as may be necessary. I understand that this application is not, and is not intended to be, a contract of employment and that any employment is strictly “at will.” I hereby release any party investigating the information provided by me on this application, as well as any party providing information about my background, from any and all claims and damages in connection with the investigation or verification of such information. In the event of employment, I understand that false or misleading information given on this application may result in my discharge.

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TRAINEE & STAFF AUTHORIZATIONS:

RELEASE OF INFORMATION: I understand that information I have provided as part of the application process or collected as part of the services provided may be used for research, and I give my consent for it to be used. My last name will not be used, and data will be confidential.

PHOTOGRAPHS AND VIDEOTAPING: I understand that photographs and videos of me may be collected and used to monitor lessons/work as well as for marketing and promotional purposes. I give permission to edit, alter, copy, exhibit, publish, distribute, and use any photos, videos, interviews, or personal information

LOCATION OF SERVICES: I understand that work may be done via Zoom or at an agreed upon location in-person.

PAYMENT OF SERVICES: I understand Children’s Charities, inc is a nonprofit organization and while there is no required financial fee for lessons or services I provide as part of my employment, I understand and agree that volunteering in funding efforts, providing personal or solicited donations, and promoting CCI events and activities is essential and expected. I further understand and agree that my employment is “at will”.

I understand and agree to the information as initialed above and signed below. If approved by Children’s Charities, inc, I am engaging in these services/employment voluntarily and release the employer of all personal and professional liabilities. I release the employer from any claims or demands that may be made during the participation of lessons, activities, services, or employment.

Serving Others So KIDS Can READ!

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