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Apply for AmeriCorps Program Coordinator

Please use this form to apply for any of the AmeriCorps Program Coordinator positions.

**Note that most of our first year coaches are AmeriCorps members. Please make sure that you review the eligibility requirements before completing your application. They can be found here**

Please use your mouse or the tab key on your keyboard to move between fields. Do not use the "enter" key as this will submit your application.

Location Choice

Location First Choice: *

Contact Information

Salutation:

First Name: *

Last Name: *

Email: *

Phone:

Mobile Phone:

Address Information

Street Address:

City:

State:

Zip:

Application Information

How did you hear about us?:

Please provide more details about how you heard about us:

Have you ever applied to Playworks or Sports4Kids before?:

If yes, describe when, for what position and the result of your application:

Foreign Language(s) spoken:

Foreign Language Fluency:

Education History

Education Status:

Current School Name (If applicable):

Undergrad School:

Undergrad Major:

Graduate School (If applicable):

Graduate Area of Study:

Resume

Please be sure to highlight any relevant child-work experience.

Resume: *

AmeriCorps Experience

Have you ever enrolled in an AmeriCorps program before?: *

If yes, please list AmeriCorps programs, locations,dates, and # of years:

References

Reference #1:

Reference #2:

Reference #3:

Most recent employer name: *

Most recent employer phone number: *

Application Questions

Please answer the following three questions. There are no right or wrong answers.

We want to get a sense of your personality. (200 words maximum for each question)

What is the most exciting thing about working with children? What is the most challenging?: *

What would be a sample of the key rules and consequences you would institute in a program you were running? Why?: *

On the playground you overhear an adult tell a child that jumping rope is only for girls. How would you address the situation?: *

Additional Information

Do you have current CPR Certification?:

CPR Expiration Date::

Do you have current First Aid Certification?:

First Aid Expiration Date::

Are you at least 17 Years of age at the time of this application?: *

Are you authorized to serve in the US?: *

**Note that most of our first year coaches are AmeriCorps members. Please make sure that you review the eligibility requirements before completing your application. They can be found here**

Physical Demands: *

Yes, I am able to perform the essential functions of the contract for which I am applying, either with or without reasonable accommodation.

If no, describe the functions that cannot be performed:

Background Check

In connection with my application for membership, I understand and agree that a Criminal Background Investigation including the National Sex Offender Registry will be required. Further I understand that Playworks may request information from various federal, state and other agencies, including public and private sources which maintain records concerning my past activities related to my driving history, credit history, criminal record, civil matters, previous employment, educational background and other past experiences.

Background Check Agreement: *

I Agree

I am requesting information to obtain records:

Criminal History

Convictions for marijuana-related offenses that are more than two years old should not be listed. In addition, do not disclose any arrest that did not result in conviction; convictions that have been sealed, expunged or statutorily eradicated; juvenile records or traffic citations.

Have you ever been convicted of a criminal offense (felony or serious misdemeanor)?: *

If yes, state nature of the crime(s), when and where convicted, and disposition of the case:

Optional Data

As an equal opportunity program, Playworks encourages applications from all individuals regardless of age, gender, race, ethnicity, or physical ability, and evaluates all candidates on a merit basis. Please share information about your race and/or ethnicity and gender so that we can track how well we are including all communities in our program.

Race/Ethnicity:

Gender:

Certification and Release

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for membership and the answers given by me are true and correct to the best of my knowledge. I understand that any omission or misstatement of material fact on this application or on any document used to secure membership shall be grounds for rejection of this application or for immediate discharge if I am a member, regardless of the time elapsed before discovery.

I hereby authorize Playworks to thoroughly investigate my references, work record, education and other matters related to my suitability for membership and, further, authorize the references I have listed to disclose to the organization any and all letters, reports and other information related to my work or service records, without giving me prior notice of such disclosure. In addition, I hereby release Playworks, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

Finally, I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my membership, if hired, is intended to create a service contract between me and Playworks. In addition, I understand and agree that if I become a member, my membership is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or Playworks, and that no promises or representations contrary to the foregoing are binding on Playworks unless made in writing and signed by me and a Playworks representative.

Release Authorization: *

Please check box to digitally sign this document

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