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Parent/Guardian Handbook
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Application for Employment
Name
Primary Phone
Email Address
Address
Date of Residency
Race
Gender
DOB
Reliable Means of Transportation?
Yes
No
Position Applying For
Program Leader
Site Preferred to work at
Teen Center (Waynesboro)
Waynesboro Kids Club
Kids Club at Booker T (Staunton)
Previous Employment Information
Highest Level of Education
Grammar School
High School
GED
College
Other Skills / Certifications?
Interest, Hobbies, and Talents you can share with members
2 Emergency Contacts
3 (Non-Related) References
By E-signing here, you verify that all information filled out is accurate.
By E-signing here, you give Boys & Girls Club of Waynesboro, Staunton, and Augusta County the right to do a background check.
By E-signing here, you understand that the Boys & Girls Club of Waynesboro, Staunton, and Augusta County is an alcohol, drug, tobacco, and vape free organization and these substances are NOT allowed on site premises.
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Thank you for your interest in joining our team. We will get back to you as soon as possible
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