Application Form | Beacon Center

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Come Work With Us
Beacon Center is an equal opportunity employer.

First Name

Last Name

Select an Address

Position

Phone

Email

Emergency Contact

Name

Relationship to you

Phone

Employment History

Company

Start Date

End Date

Select an Address

Phone

Supervisor

Position

Duties/Responsibilities

Company

Start Date

End Date

Select an Address

Phone

Supervisor

Position

Duties/Responsibilities

Company

Select an Address

Start Date

End Date

Phone

Supervisor

Position

Duties/Responsibilities

Education/Training

High School

Did you graduate?

Yes

No

Year of Graduation

Field of Study/Degree

College/Secondary Education

Did you graduate?

Yes

No

Year of Graduation

Field of Study/Degree

College/Secondary Education

Did you graduate?

Yes

No

Year of Graduation

Field of Study/Degree

Skills and Qualifications: Licenses, skills, training awards

Do you speak, write, or understand any foreign languages? If yes, list which languages(s) and how fluent you consider yourself to be:

Internship Information - This section only needs to be completed for internship applications.

Name of School

Class you are interning for

Name of Instructor

Instructor Phone Number

Instructor Email

How many hours are required for your internship?

When do you hope to start your internship?

When do you hope to complete your internship?

By the end of the internship what are you hoping to gain from your experience

General Knowledge

Describe what you know regarding domestic and sexual violence.

Describe how you handle stress.

Give an example of a time you worked with a team and explain your role in the team.

Skills/Interests

Skill Inventory - Please check the skills that you have, and would be willing to use and share.

Artistic

Canva

Carpentry

Cleaning

Copy Machine Operation

Data Entry

Decorating

Dynamics of DV/SA

Electrical

Event Planning

Filing

Fundraising

Gardening

Heavy Lifting

Google Workspace

Grant Writing

Graphic Design

Hair Stylist

Painting

Listening

Marketing

Mentoring

Microsoft Office

Organizing

Parenting

Phone Skills

Photography

Sewing/Alterations

Sorting Donations

Teaching

Transport Furniture

Training

Typing

Skills/interests I would like to develop

Why do you wish to work, volunteer, or intern at Beacon Center?

How did you hear about Beacon Centers' employment opportunities or intern/volunteer program?

References - Please list three persons not related to you whom you have known for at least one year.

Name

Select an Address

Relationship

Work Phone

Home Phone

Name

Select an Address

Relationship

Work Phone

Home Phone

Name

Select an Address

Relationship

Work Phone

Home Phone

By checking the box, I certify all information is true and correct to the best of my knowledge. I understand that all offers to work, intern, or volunteer at Beacon Center are contingent upon clear results of a thorough background check.

Thank you! We'll be in touch.

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801 Jenson Ave SE / PO Box 781

Watertown, SD 57201

Crisis Line: 605-886-4300 / 1-800-660-8014

Business: 605-886-4304 Fax: 605-878-2045

Beacon Center is a 501(c)(3) Organization

*donations to which are tax-deductible to the fullest extent permitted by law.

© 2021 by Beacon Center

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