World Vision International

WORLD VISION INTERNATIONAL

Employment Department

800 W. Chestnut Avenue

Monrovia, California 91016-3198 U.S.A.

Phone (626) 303-8811 Fax (626) 301-7710

Web Address:

Application

for Employment

World Vision International [WVI] is a religious non-profit corporation and will consider applications for all positions without regard to race, color, sex, national origin, age or any other characteristic protected by applicable state or federal civil rights law. However, WVI reserves the right to make

faith-based hiring decisions as permitted under Title VII (42 U.S.C. Section 2000e – 1(a))

Instructions: Complete all sections, which pertain to you. If you have a resume/curriculum-vitae, please include with your application. Do not include a resume/curriculum-vitae as a substitute for completing the application. Type and date the application. By typing your name in the application, you authorize WVI to verify the information contained in the application.

PLEASE PRINT YOUR RESPONSE BELOW

Date: [LN1]
Name: [LN2] / [LN3] / [LN4]

(Last)(First)(Middle)

Present Address: [LN5]
City: [LN6] / State: [MSOffice7] / Postal/Zip Code: [MSOffice8] / Country: [LN9]
Email Address: [LN10]
Home Phone: [LN11][LN12] / Business Telephone: [LN13] / Fax Number: [LN14]
/ (Please include Country and City area codes)
Position for which you are applying: [LN15] / Date Available:[S16][LN17]

Thank you for considering World Vision International [WVI] as an employer. To ensure that we make a hiring decision that is right for you, and for us we use a number of different selection tools before a decision is made. As you are being considered for a position, you may encounter some or all of the following selection tools.

1.Employment Application: Each applicant must complete and submit this form to be considered for any position.

2.Employment Interviews: Several in-person or telephone interviews may be conducted with you in order to provide WVI more detailed information regarding your qualifications.

1. Reference/Records Checks: WVI requests background checks per the Federal Fair Credit reporting Act [15 U.S.C. Subsection 1681 et seq.]

1. Physical and Medical Examination: Some positions in WVI may require the applicant to take a physical and medical examination.

1. Security: Per World Vision Protection of Children guidelines, applicants may be asked child-protection-related questions with reference to your past work experience.

Employment Information

Type of work desired: / International / Full-Time / Temporary / Volunteer
U.S.A. / Part-Time / Internship
How did you learn of this position?
Why are you applying for work with World Vision?
Have you ever been employed by World Vision? Yes No / If yes, where / From: To:
Overseas Experience (include country and dates of service):
If you have a minimum salary requirement, please state the amount: $ / Are you available to travel overseas? YesNo

Education and Training

Select highest grade completed:Select OneNone1 Year (Elementary)2 Years (Elementary)3 Years (Elementary)4 Years (Elementary)5 Years (Elementary)6 Years (Elementary)7 Years (Elementary)8 Years (Elementary)9 Years (High School/Secondary)10 Years (High School/Secondary)11 Years (High School/Secondary)12 Years (High School/Secondary)1 Year (College/University)2 Years (College/University)3 Years (College/University)4 Years (College/University)5 Years (College/University)6 Years (College/University)7 Years (College/University)8 Years (College/University) Other:
List schools attended beginning with high school. Include technical schools and other special training.

Level of School

/

Name of School

/

City/State/Country

/

Course-work

Major/Minor / Graduated?

Yes/No

/

Degree or

Certificate
High School/Secondary / YesNo
College/ University / YesNo
YesNo
Other / YesNo
YesNo

Technical Skills

For each item, please indicate a number [1, 2, or 3] that corresponds to your level of proficiency:
(1) Very Proficient / (2) Somewhat Proficient / (3) Limited Proficiency
(1) Very(2) Somewhat(3) Limited Power Point Graphics / (1) Very(2) Somewhat(3) Limited Lotus Notes / (1) Very(2) Somewhat(3) Limited Microsoft Office:
(1) Very(2) Somewhat(3) Limited Notes Mail / (1) Very(2) Somewhat(3) Limited Lotus 1-2-3 / (1) Very(2) Somewhat(3) Limited Word (1) Very(2) Somewhat(3) Limited Excel (1) Very(2) Somewhat(3) Limited Access
(1) Very(2) Somewhat(3) Limited Internet / (1) Very(2) Somewhat(3) Limited Macintosh / (1) Very(2) Somewhat(3) LimitedOther:
Language Ability (Optional) WVI appreciates any additional international experience you desire to provide.
Please rate yourself according to the definitions listed below:
0 – Unable to function in the spoken language
1 – Satisfies limited work requirements and social demands
2 – Fluent and accurate on all levels
English: 0 - Unable1 - Limited2 - Fluent / French: 0 - Unable1 - Limited2 - Fluent /

Spanish: 0 - Unable1 - Limited2 - Fluent

/ Portuguese: 0 - Unable1 - Limited2 - Fluent / Other: [S18]

Employment History

Please provide enough information to allow for review and evaluation of your work experience and abilities. Beginning with the most recent, list your last 10 years of work history including any voluntary assignments. If additional space is needed, please attach a separate sheet of paper.

“You must complete this section in its entirety, even if you include resume / curriculum-vitae”

Name and address of Employer (1) / Date Employed
Month/Year / Base Salary
(U.S. Dollars) / Other Compensation
(Overtime, Commission, etc.)
[S19] / From: / Start: /Mo.Hr. / [S20]
[S21] / To: / Ending: /Mo.Hr.
Business Phone: [S22] / May we contact? Yes No
Position(s) Held (Title):
Describe your duties:
Supervisor’s Name/Title: / Phone Number: [S23]
Reason for Leaving:
Name and address of Employer (2) / Date Employed
Month/Year / Base Salary
(U.S. Dollars) / Other Compensation
(Overtime, Commission, etc.)
[S24] / From: / Start: /Mo.Hr. / [S25]
[S26] / To: / Ending: /Mo.Hr.
Business Phone: [S27] / May we contact? Yes No
Position(s) Held (Title):
Describe your duties:
Supervisor’s Name/Title: / Phone Number: [S28]
Reason for Leaving:
Name and address of Employer (3) / Date Employed
Month/Year / Base Salary
(U.S. Dollars) / Other Compensation
(Overtime, Commission, etc.)
[S29] / From: / Start: /Mo.Hr. / [S30]
[S31] / To: / Ending: /Mo.Hr.
Business Phone: [S32] / May we contact? Yes No
Position(s) Held (Title):
Describe your duties:
Supervisor’s Name/Title: / Phone Number: [S33]
Reason for Leaving:

If additional space is needed, please attach a separate sheet of paper.

Applicant History

1. Some overseas positions require a medical examination. If you are offered a job conditionally based on satisfactory results of a post-offer medical examination, Are you willing to have a medical examination at World Vision’s expense? YES NO
2. Have you been convicted of a felony within the last 7 years? YES NO
3. Have you been convicted of a felony under a different name? YES NO
4. If you answered yes, to either question 2 or 3 above, please explain:
(Note: A conviction is not an automatic bar to employment. Each case will be considered on its own merit.)
5. Are you able to perform, with or without an accommodation, the essential functions of the position for which you are applying?
YES NO

In compliance with the Americans with Disabilities Act, applicants are invited to request any needed accommodation

to participate in the application process
References

Please provide three references we may contact who know you and your capabilities: (1) Employer, (2) Professional/Personal and (3) Church Minster or Group leader.

Reference / Name / Organization / Years
Known / Home or
Business Address / Home or
Business Phone

Employer

Professional/Personal

Church Minister and/or Group Leader

For Employment in the United States

If you are applying for a position in the U.S., do you have legal right to work and be employed in the U.S.? YES NO
(If you are hired, you will be required to submit proof of identity and legal authority to work in the U.S.)
If you are not a U.S. citizen, please indicate VISA type and number [MSOffice34]
Country issuing passport: Enter country issuing passport herePassport Number: Enter passport number here
Are you at least 18? YES NO

PLEASE READ CAREFULLY AND SIGN BELOW:

I hereby certify that all of the information contained in this application is complete and accurate to the best of my knowledge. Any misrepresentation or omission of any facts in my application, resume/curriculum-vitae or any other materials, or during any interviews, can be justification for refusal of employment, or if employed, can result in termination. I expressly consent to any discussions regarding the foregoing by any person contacted and I knowingly and voluntarily waive all rights to bring any action for defamation, invasion of privacy or similar cause of action against any person or agency which provide such information.

Applicant’s Name:[S35] / Date:[S36]
Personal Statements (Optional)

World Vision is an international organization with Christian based principals and corporate culture. Therefore, World Vision appreciates if you take a moment to answer the following questions.

Thank you for sharing your thoughts with us.

Are you presently attending a church? YES NO
If yes, what is the name, address, and phone number of the church?
What is your minister/pastor’s name?
What is your involvement in your church?
Please provide a personal statement describing your relationship with Jesus Christ.

Mission Statement

World Vision is an international partnership of Christians whose mission is to follow Jesus Christ in working with the poor and oppressed to promote human transformation, seek justice and bear witness to the good news of the Kingdom of God. We pursue this mission through integrated, holistic commitment to transformational development, emergency relief, promotion of justice, strategic initiative, public awareness, and witness to Jesus Christ.
Please provide your thoughts and feelings regarding World Vision International’s mission statement.
Pre-Employment Agreement

Please read carefully and type your name below

I understand and agree that:

1. The information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume/curriculum-vitae or any other materials, or during any interviews, can be justification of refusal of employment, or if employed termination from employment.

2. I understand that any employment offer I may receive from World Vision International is contingent upon my successful completion of organization’s pre-employment screening process, including the organization receipt of references and background check that it considers satisfactory, and completion of any post offer pre-employment medical examination that the organization may require. I hereby consent and authorize to having the results of any post offer pre-employment or post employment medical exams I may be required to take disclosed to World Vision International.

3. In processing my application for employment, I hereby consent and authorize World Vision International to contact anyone it deems appropriate to investigate or verify any information I have provided or to discuss my background, past performance, or suitability for employment. I expressly consent to any discussions regarding the foregoing by any person contacted and I knowingly and voluntarily waive all rights to bring any action for defamation, invasion of privacy or similar cause of action against anyone providing such information. The organization may verify all the information provided by me, and may procure or have prepared a consumer or an investigative consumer report for the purposes of confirming my identification, and my criminal background related to child protection issues. According to the Federal Fair Credit reporting Act, you have the right to receive a copy of your background check consumer report free of charge should one be requested for employment reasons. I understand that my employment is conditioned upon successfully passing a post-offer medical examination, if applicable, and a satisfactory background and records checks and that misrepresentation or omission of the facts will be cause for dismissal from World Vision International’s service if I shall have been employed.

4. I authorize and request that all of my present and former employers and those individuals I have listed as personal references furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment, hereby releasing them from any and all liability for damages arising from furnishing the requested information.

5. In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of World Vision International and understand that my employment and compensation is “AT-WILL” which means that either I or World Vision International can terminate the employment relationship at any time, with or without cause or notice, at the option of either the company or myself.

This Pre-Employment Agreement will be enforceable through the application process, my employment, and thereafter with respect to any such claims arising from or relating to my application or candidacy for employment or employment with World Vision International.

I have read this Agreement and understand.

Applicant’s name: [S37] / Date: [S38]

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