National Inclusion Project || Who We Are

I'm applying for the position of: *

STATE COORDINATOR
AREA COORDINATOR

Name: *

Street Address:

City:

State:

Zip:

Email:

Telephone Number:

Employer:

Job Title:

Refrences:

Please list 3 references.

Name	Phone Number	Email	Personal/Work?

How many years have you worked with WFI?

I give National Inclusion Project permission to inquire into my educational background, references, driving record, police records, employment, and/or volunteer history. I further give permission to the holder of any such records to release the same to National Inclusion Project. I do hereby hold National Inclusion Project harmless from any liability, whether civil or criminal that may arise as a result of the release of this information about me. I understand that National Inclusion Project will use this information as part of its verification of my volunteer application and periodically for evaluation purposes.

I Accept *
I Decline

By re-entering your email, you are agreeing that the above information is correct to the best of your knowledge.

Email: *