Ann's Heart - Code Blue Overnight Emergency Warming Center

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Ann's Heart - Code Blue Overnight Emergency Warming Center - Employment Application

I understand completion of this application does not guarantee me an interview.

Full Name *

Street Address, City, State, Zip *

Phone *

E-mail Address *

Do you have experience working with individuals experiencing homelessness? If yes, please explain. *

Preferred Shifts, M-F (check all that apply) *

7:30 PM - 2:00 AM

2:00 AM - 8:30 AM

Either

None

Monday into Tuesday

Tuesday into Wednesday

Wednesday into Thursday

Thursday into Friday

Friday into Saturday

Preferred Shifts - Saturday into Sunday (check all that apply) *

5:30 PM - 2:00 AM

2:00 AM - 9:30 AM

Either

None

Preferred Shifts - Sunday into Monday (check all that apply) *

9:30 AM - 2:30 PM

2:30 PM - 7:30 PM

7:30 PM - 2:00 AM

2:00 AM - 8:30 AM

ANY

NONE

Do you have a vehicle or live within walking distance of Ann's Heart? *

Yes

Have you been convicted of a felony? *

Yes

If yes to above, please explain

Have you ever been fired by an employer? *

Yes

If yes to above, please explain

Please provide two work-related references (with contact information) *

Please provide a personal reference (with contact information) *

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