You must also have a “Sunshine Center” Application form on file along with background clearances
 

Name _______________________________________________________    Date __________
 Address _____________________________________________________________________
 Town __________________________     State ________        Zip ______________________ 
 Phone _____________________________  Email ________________________________
 Other # where you can be reached ___________________________________________
 Social Security # _____________________________    Driver’s License __________________
 

What Summer position are you interested in (Check all that apply to you)
 ____ Morning Glory Staff (3 weeks)    ____  Kreative Dahlia Staff (3 wks)   ____ Teen Staff (2 weeks) (make sure times/dates are good)
 

What Winter position are you interested in (check all that apply - make sure you are available for all the times and dates)
SafeKids (Monday evenings)  _____  Anger Mangement (Wed evenings)__________    Divorce support (Tuesday evenings)_________
Social Skills programs (holiday vacations) ______   Social Skills programs Evening support groups ______   

Preschool Aides and assisants  (Weekdays only) Morning session ________   Afternoon session________
Salary Expected            $__________ per hour                    $ ___________ per week
 Are you applying for an non-paid internship, field placement or volunteer position  yes _____    no _______
 If yes - How many hours are you required to complete ____________________  by when _________________
 

What educational experience do you have that qualifies you for this position ________________________________________
__________________________________________________________________________________________________
 

What hands-on experience (including previous work at Sunshine) do you have that qualifies you for this position __________________________________________________________________________________________________
____________________________________________________________________________________________________
 

Please provide the following references that best relate to this position.  (include professor/advisor if possible)

1.  Name of reference ___________________________ Phone ________________
How do you know this person ____________________________________________
 2.  Name of reference ____________________________  Phone ________________
How do you know this person ______________________________________________
 Additional comments that will help us make a decision _________________________________________
 ____________________________________________________________________________________