SFMB Intern Application

Your name *

Email address *

Application Checklist

You will complete the following items through this form:

1. Completed Application (dated & signatures)

2. Staff Rules and Regulations

3. Staff Waiver

4. Staff Agreement

5. Confidentiality and Privacy Agreement

You will need to submit the following to Ashley via email (ashley@setfreemontereybay.org) or by post (Set Free Monterey Bay 2511 Garden Road Suite B260, Monterey CA 93940)

6. Copy of driver’s license, state ID, military ID or passport

7. Background Check Approval Form

8. Application fee of $45 to cover the cost of your background check. Checks can be made out to Set Free Monterey Bay. Or paying $45 through our website (select the DONATE button and please put “Background Check” in the memo/note line)

I understand that the submission of all the materials listed above are required in order to complete my application for the SFMB position. *

Personal Information

Phone number *

Address *

Select your highest level of education (completed or current) *

8th grade

High school

GED

College Degree

Master's Degree

Doctoral Degree

Please indicate the type of degree you've earned, if applicable (College, Master's or Doctoral):

Are you fluent in any other language besides English?

Yes

Employment History and Relevant Experience

Please list your last three jobs, beginning with your current or most recent employer.

Name of Employer #1 (current or most recent) *

Position Title (#1) *

Dates Employed (#1) *

Description of Duties (#1) *

Name of Supervisor, Phone & Email Address (#1) *

Description of Duties (#2)

Name of Supervisor, Phone & Email Address (#2)

Description of Duties (#3)

Name of Supervisor, Phone & Email Address (#3)

Please list any other information that may be useful in the evaluation of your application. (i.e. special training, certifications, CPR, etc.)

List any experience you have that will be relevant to your role at Set Free Monterey Bay that may not be reflected in your employment history. (other organizations you’ve volunteered for, etc)

References

Please provide three references below, two personal and one professional. Please consider selecting individuals that can speak to your talents, character and service experience.

**You will need to send your reference the link below to the SFMB Reference Form, requesting their submission on your behalf. You're encouraged to share with them about SFMB and your interest in serving!

https://set-free-monterey-bay-434635.churchcenter.com/people/forms/571650

Reference #1 Full Name *

How long and in what context have you known Reference #1? *

Reference #1 Phone Number *

Reference #1 Email *

Reference #2 Full Name (Personal) *

How long and in what context have you known Reference #2? *

Reference #2 Phone Number *

Reference #2 Email *

Reference #3 Full Name (Professional)

How long and in what context have you known Reference #3? *

Reference #3 Phone Number *

Reference #3 Email *

Have you ever been convicted of, plead guilty to, or no contest to a felony? *

Yes

Medical & Contact Information

Emergency Contact First & Last Name *

Emergency Contact's Relationship to You *

Emergency Contact's Cell Phone Number *

Emergency Contact's Additional Phone Number

Do you have any known medical conditions? If yes, please list below.

Are you aware of any medical conditions that would prevent you from performing the services of a staff position without reasonable accommodation?

Yes

Driving Information

WARNING: Clearance must be obtained from Set Free Monterey Bay’s insurance carrier before you drive any company vehicles or transport any residents in your personal vehicle. Check with the office before operating any vehicle owned or leased by the organization or its affiliates.

Have you been involved in any motor vehicle accidents while driving in the past 3 years? *

Do you carry at least liability insurance on your automobile?

Personal Reflection Questions

Please answer briefly each of the following questions to help us get to know you.

How does working at Set Free Monterey Bay fit into your personal mission, faith standpoint, or goals? *

What role are you interested in having at Set Free Monterey Bay and what makes you qualified for it? *

What networks are you connected to in the community and how can you bridge those networks to Set Free Monterey Bay for the purpose of financial and other forms of support?

Interview

We would like to have a conversation with you about the role of a staff member and answer any questions you have.

In the question below, we ask you to describe your availability for a 30-minute interview. If possible, please suggest a couple of specific times in the coming weeks that work well for you. Interviews will be conducted either in person or via zoom. If you have already scheduled your interview with us, please indicate this in your answer below.

Please share more about your availability for a 30-60 minute interview in the next two weeks. *

Certifications

By making selections below, you affirm that you have read, understand and agree with the statements included within each document:

Staff Rules & Regulations
Staff Waiver
Staff Agreement
Confidentiality & Privacy Agreement

The documents listed above are all available at:

https://docs.google.com/document/d/1u5ese-gMmaAJgmvq-BlD6r0crCwXbPfstkW9BD0Y9Ws/edit?usp=sharing

I have read and agree with the STAFF RULES & REGULATIONS. *

I have read and give consent to the stipulations within the STAFF WAIVER. *

I have read, understand and agree to the statements within the STAFF AGREEMENT. *

I have read, understand and agree to the statements within the CONFIDENTIALITY & PRIVACY AGREEMENT. *

Background Check Approval Form *

By checking this box, I assert that I will submit the background check approval form available at this link as part of my volunteer application. I recognize that my volunteer application will not be complete without submission of this form.

https://set-free-monterey-bay-434635.churchcenter.com/people/forms/578275

Application Certification *

The information contained on this application is correct to the best of my knowledge. I agree to notify the SFMB staff should there be any changes in the above information. Should my application be accepted, I agree to fulfill the commitments of my job description, to be faithful to the policies of Set Free Monterey Bay, and refrain from dishonorable conduct in the performance of my services on behalf of Set Free Monterey Bay.