(319)363-5766
420 6th St SE Cedar Rapids, IA 52401
Provide two references (non family members)
Please select the applicable response
By typing my name below, I certify that all the answers on the application and any attachments are true and complete to the best of my knowledge. I also certify that I have not withheld any pertinent information.
I agree that in the course of considering my application you may inquire to verify information considering my background. I specifically authorize you to investigate all statements in this application. I authorize educational institutions, employers and references listed above to give you any and all information concerning education, employment and fitness to work with children and young people. I also agree to release the Boys & Girls Clubs of the Corridor, the listed institutions and references, and any law enforcement agencies from any liability or claims resulting from the release of this information.
Thank you for submitting your application.
We will get back to you as soon as possible.