Leader Application

Staff Application

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NOTE: If you have previously completed a staff application (whether or not you are a returning leader), you do not need to complete the application a second time. Please contact the VISIONS office to notify us that you are interested in working next summer.

Please note that this form will time out in two hours. You may complete the application in one session, or use the "Save and Finish Later" button at the bottom if you need more time to thoroughly answer all questions.

If you have questions about pay or any other details, please don't hesitate to email us.

Where did you hear about VISIONS? Please be as specific as possible, as it helps us determine where to post our jobs. If you heard about us from word of mouth, please let us know who referred you.

Please include your full name as it is written on your passport (or official ID if you don’t have a passport).

First Name

Middle Name

Last Name

Preferred Name/Nickname

Gender

Birthdate

Personal Email

Mobile Phone

Other Phone

Passport Country of Origin (If you don't have a passport, then just put your country of citizenship. Passport will be required for overseas positions)

Passport Expiry Date

Secondary Passport (if you are a dual citizen, enter your second passport here. US dual citizens should enter United States as their first passport)

Permanent Mailing Address

If hired, this is where tax forms will be mailed.

Country

Street*

City

State/Province

Zip/Postal Code

Check if your current address is different from your permanent mailing address

Current Physical Address

Current Country

Street*

Current City

Current State/Province

Current Zip/Postal Code

What are the earliest and latest dates you are available this summer?

Earliest Available Date

Latest Available Date

What is your highest level of education?

What medical certifications do you currently hold?

What wilderness medical certifications do you currently hold?

What water safety certifications do you currently hold?

List any other medical certifications or training that you have.

Please rate your experience for the following skills:

Spanish

Carpentry

Cooking for Groups

Outdoor/Wilderness

Swimming

Other Skills

Please explain any of the above skills, particularly advanced and highest level.

Do you have a valid driver's license?

Did you serve in an AmeriCorps, Peace Corps or other service program? If so, please describe briefly.

Please describe yourself in 250 words or less.

Why do you want to be a VISIONS leader and what skills would you bring to the position?

Describe a life experience that has shaped who you are.

Describe a negative work experience and how you dealt with it.

Describe your experience working with youth, including any time in a residential setting.

Describe any experience in other cultures or subcultures. Note time spent in any of VISIONS program locations.

VISIONS runs a motor vehicle report for each person who is conditionally offered a job as a leader, regardless of whether they are being considered for a location where leaders drive. By submitting this application, you give permission to VISIONS Service Adventures to obtain and relase your Motor Vehicle Report.

For locations where leaders drive, the following are generally criteria for being on the team:

No more than one at fault accident within the last three years. No major violations (racing or speeding in excess of twenty mph over posted speed limit) in the past three years. No DUIs within the past five years. No more than two moving violations within the past three years. No other serious infractions.

List all driving infractions and dates.

I give permission to VISIONS Service Adventures to obtain and release my Motor Vehicle Report (type signature below)

Have you been convicted of any crimes? If so, provide full explanation and dates. Note: Background checks are required for any person offered a job with VISIONS.

Have you been convicted of any sex-related or child-abuse crimes? If so, provide a full explanation and dates.

Employment History

List all employment over the past five years or as applicable, starting with the most recent. Each listing must include: (1) Employer, (2) Dates of Employment, (3) Position, (4) Supervisor, and (5) Reason for leaving.

Which of your previous employers may we contact?

Please explain any gaps in employment.

Have you ever been dismissed or fired from a job? If so, please explain.

References

Please provide phone numbers and email addresses for three professional references.

Reference 1

Reference 1 Name

Relation to Reference 1

Reference 1 Phone Number

Reference 1 Email

Reference 2

Reference 2 Name

Relation to Reference 2

Reference 2 Phone Number

Reference 2 Email

Reference 3

Reference 3 Name

Relation to Reference 3

Reference 3 Phone Number

Reference 3 Email

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