Oasis Community Corp.

For 2007 Returning Staff

Thank you for your interest in returning to the Oasis family! We will contact you if you are a good fit for an open position.

Returning Staff Application

Note: Red Fields are REQUIRED

Last Name First Name

Current Address
Street
City State Zipcode
Home Phone [###-###-####] Mobile Phone
E-mail

Permanent Address
Street
City State Zipcode

What is the best way to reach you? (Please select one) Email Cell Home

Are you a Student? (Place an X in one Box) No Yes

If Yes, Where?
Current or Pending Degrees

Current or Pending Certifications

Number of Years with Oasis Summer After School

Positions
Please indicate one or more that you feel qualified for and that interest you.
Program Director click here for description click here for Program Director description
Assistant Program Director click here for description click here for Assistant Program Director description
Funded Program Director click here for Funded Program Director description
Group Leader click here for Group Leader description
Instructor click here for Instructor description

Is this a different position than previously held? No Yes

What site were you previously employed at?

Please indicate the site your interested in
West Side Manhattan
East Side Manhattan
Brooklyn
Bronx

** Please note that in certain cases an interview may be required **

What dates are you available to work during the 2007-2008 School Year

Are you interested in attending staff recruiting events at your school? No Yes

Have you ever been convicted of a felony or misdemeanor? No Yes (If yes, please indicate the conviction dates and circumstances)

Have you ever been convicted of child abuse or a sexual offense? No Yes

I will attend ALL staff training events; which will include Saturday Staff Trainings No Yes

I certify that all the statements and information on this application or given during the interview process are accurate and complete, and I understand that any employment offer is based on the accuracy of this information. Any false statements Omissions or inaccuracies of this application will be just cause for my disqualification or dismissal. I hearby authorize Oasis Community Corporation, LLC to conduct a personal felony record search.
Signature Date [mm/dd/yy]

(By entering your name, you certify this application)

Please enter any questions below