MAPSCorps Application

MAPSCorps Informational Flier
Application
Contact Info

Claretian Associates - Employment Application

It is the policy of Claretian Associates to seek and employ the best qualified personnel in all of its operations and to provide equal opportunity for the advancement of employees, including upgrading, promotions, and training; and to administer these activities in a manner which will not discriminate against any person because of race, color, religion, national origin, sex, ancestry, citizenship, marital status, sexual orientation, parental status, source of income, age disability, or any other legally protected category.

Students must be at least 16 years of age to apply for the MAPSCorps Summer Program.

After completing this application please complete the MAPSCorps application by clicking here. After submitting this application, the confirmation message will also provide you with the MAPSCorps application link.

PLEASE FILL OUT THE ENTIRE FORM BELOW & CLICK SUBMIT WHEN DONE

Identification

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone *

Please submit one of the following.
Please enter 'N/A' if it does not apply to you.

Social Security *

ITIN *

Email *

Employment Data

Will you be available to from July 6th- August 12th? *

Yes No

Is there is any reason you won't be available during these dates? *

General Information

Can you upon employment, provide genuine documentation establishing your identity and eligibility to be legally employed in the United States? *

Yes No

Education

Elementary School *

Address *

Did you graduate? *

Yes No

High School *

Address *

Did you graduate? *

Yes No

If you speak a language other than English, which language(s) is it? *

Parent Guardian Contact Information

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Alternate Phone Number *

Emergency Contact *

Address *

Phone Number *

Alternate Number *

Please list any medical issues or medications that your child may have: *

References

Please list two teachers or counselors we may contact for references.

Name *

First

Last

Relationship *

Phone Number *

Relationship Title *

Years Acquainted *

Name *

First

Last

Relationship *

Years Acquainted *

Phone Number *

Relationship Title *

Questions

How will you get to work? *

Why do you feel you will be the best candidate for this job? *

What type of impact are you trying to make within your community? *

What are your strengths? *

Would you be interested in other programs during the school year? *

Acknowledgement

Please read carefully before signing.

I affirm that all statements and answers I have given are true and correct to the best of my knowledge and that if employed any false, misleading, or otherwise incorrect statements made on this application or any other documents provided during the application process may be grounds for immediate discharge.

I authorize Claretian Associates and its parent company (Claretian Missionaries Service Corporation) to conduct any necessary and reasonable investigations with respect to my application, and release the company, my former employers, and professional references from any liability from damage caused by giving and receiving information or opinions as to my employment or character.

I understand that neither the information provided in this application nor my hiring by Claretian Associates constitutes an employment contract. I further understand that any employment relationship with Claretian Associates is of an “at will” nature, and may be terminated by the company or myself at any time for any reason or no reason at all, with or without prior notice.

Student E-Signature *

Date *

Parent E-Signature *

Date *

Submit

If you have any questions please contact,

Tiarra Owens, Program Manager
773-734-9181 Ext. 2030
tiarrao@claretianassociates.org

Claretian Associates - Employment Application

Identification

Employment Data

General Information

Education

Parent Guardian Contact Information

References

Questions

Acknowledgement

Please visit us at our new SALUD Center!3039 East 91st Street Chicago, IL 60617 Phone: 773.734.9181 | Fax: 773.734.9221Hours: M-F: 8:30am - 4:30pmContact Us Here.Claretian Associates Inc. Copyright © 2023 All Rights Reserved

Please visit us at our new SALUD Center!
3039 East 91st Street Chicago, IL 60617
Phone: 773.734.9181 | Fax: 773.734.9221
Hours: M-F: 8:30am - 4:30pm
Contact Us Here.
Claretian Associates Inc. Copyright © 2023 All Rights Reserved