Please note, all information below will be used by Boomerangs and AIDS Action Committee in accord with our privacy policy . Please omit any information you don't wish to be used in that manner.
Boomerangs and the AIDS ACTION COMMITTEE are equal opportunity employers. We do not discriminate based on race, age, gender, national origin, religion, mental or physical disability.
Please fill in your contact information below.
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Are you a citizen of the United States
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No
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If NO, are you available to work in the U.S.
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No
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Have you ever been convicted of a felony
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No
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If YES, explain
EDUCATION
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High School
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Dates Attended
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Did You Graduate?
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College
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Dates Attended
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Did You Graduate?
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No
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Other
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Dates Attended
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Did You Graduate?
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No
AVAILABILITY
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Please list your availability Monday-Sunday 8am to 8pm. Please note that many Boomerangs positions require Saturday availability.
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Which would you like your application directed to? Check all that apply:
Please make at least 1 selection from the choices below.
REFERENCES
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Name
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Relationship
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Phone
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Name
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Relationship
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Phone
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Name
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Relationship
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Phone
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Where did you hear about Boomerangs and/or our job opportunities?
EMPLOYMENT HISTORY
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Name of Employer
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Dates of Employment
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Hourly Rate
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List Duties
(Maximum response 255 chars, approx. 5 rows of text)
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Reason for Leaving
(Maximum response 255 chars, approx. 5 rows of text)
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Name of Employer
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Dates of Employment
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Hourly Rate
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List of Duties
(Maximum response 255 chars, approx. 5 rows of text)
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Reason for Leaving
(Maximum response 255 chars, approx. 5 rows of text)
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Name of Employer
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Dates of Employment
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Hourly Rate
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List Duties
(Maximum response 255 chars, approx. 5 rows of text)
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Reason for Leaving
(Maximum response 255 chars, approx. 5 rows of text)
SPECIAL SKILLS
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List Any Special Skills Including Foreign Languages
(Maximum response 255 chars, approx. 5 rows of text)
Confidentiality Statement and Agreement
In your work with AIDS Action Committee, you will be exposed to a range of confidential matters and information. Confidentiality is vital to AIDS Action Committee. There are three (3) main areas of confidentiality, which follow:
I. Client information is confidential and is to be shared only among direct care providers, except in cases where there are legal considerations involved in the client’s care. At no time shall the identity, diagnosis, or condition of a client be discussed inside or outside of AIDS Action Committee, except in a context relative to the client’s care (a client of AIDS Action Committee is someone who receives any service from AIDS Action Committee).
II. Proprietary information of AIDS Action Committee is confidential and is not to be shared outside of the building. Proprietary information includes technical data, copyrights, trade secrets, and mailing lists (including client, employee, and volunteer addresses and phone numbers). Please be aware that AIDS Action Committee owns proprietary information, and you cannot use it without express written permission of a member of the senior management team. If you have questions as to whether something is proprietary information, please check with your supervisor.
III. Information shared by colleagues and/or coworkers, including clients who are volunteers or employees, must be afforded a certain level of discretion and respect for a person’s privacy. This includes any information shared by people with colleagues about their personal life or matters at AIDS Action Committee.
All employees, volunteers, and consultants of AIDS Action Committee must sign this written confidentiality agreement. If you are unsure about the confidential nature of specific information, you should ask your supervisor for clarification.
I have read and agree to abide by the above policy. I further understand that the violation of this confidentiality policy may subject me to discipline, including dismissal and possible prosecution.
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I certify that the facts contained in this application are true and complete to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I have read, understand and agree to the terms of the AIDS Action Committee's confidentiality policy.
Yes, I understand AAC's confidentiality policy.