Relief Resources

	Children Services Staffing Support
	Human Services & Behavioral Health
	Social Change Staffing Support

Social Change Field Staff Application

Thanks for your interest in working with us. There are two ways for you to apply using this form.

Part 1	If you just want to let us know you're interested and we should contact you, simply fill out the top section and click submit at the bottom of this screen.
Part 2 & 3	If you prefer to provide us with additional information about your background, experience, availability, etc, just finish filling in the additional areas. By providing this additional information we can guide your application through our process more effectively (and a little bit quicker too!)
Part 1 Contact Information
Name
Address:
City:
State:
Zip Code:
Email
Home Phone
Alt. Phone
Beeper
How did you hear about Relief Resources:
Have you ever applied/interviewed/worked at RR before? No Yes If yes, when?
Best time and way to reach you:
Additional Comments



Part 2 Experience
What type of organizations have you worked with?
	Economic Justice	Environmental Stewardship	Political Freedom
	Human Rights	Other
What type of positions have you held?
	Volunteer	Internships	Field Work
	Administrative	Managerial
	Other
How many years of experience do you have?
	6mos.-1 year	1-2years	2-3years
	4-5years	5-10years	over 10 years
What is your educational background?
	HS Diploma	Undergrad	Associates
	BA/BS	Master level	PHD
Do you have specific trainings and/or certificates related to social change?


Part 3 Preferences & Availability
Which geographic area would you like to work in?
	Greater Boston	North Shore	South Shore
	Metro West	Greater Worcester	Southeastern Mass
	Western Massachusetts	Rhode Island	Connecticut
	Other
What Field(s) are you interested in working?
	Economic Justice	Environmental	Political Freedom
	Human Rights	Other
What type of position are you looking for?
	Volunteer	Internships	Field Work
	Administrative	Managerial
	Other
What type of hours are you looking for?
	Day	Evening	Overnights
	Weekdays	Weekends
How many hours per week would you like to work?
	0-10	10-20	20-30
	30-40	Over 40
When would you be available to start working?
	Immediately	2-4 weeks
	4-6 weeks	Other
What type of transportation do you utilize?
	Car	Public
	Bicycle	Other

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62 Main Street PO Box 129 Hatfield, MA 01038-0129 Offices in Massachusetts, Rhode Island and Connecticut


800-639-5094	413-247-3114
Fax:413-247-3837	email:info@reliefresources.com