Employment Application

Employment Application

Language. Access. Multicultural. People. (LAMP) provides and promotes equal employment opportunities for all persons without regard to race, color, sex, age, national origin, or citizenship as provided by federal law. Applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department at:

lamphr@ccstl.org

(314) 842 - 0062

Please carefully read this application in its entirety before filling it out to ensure that you can provide all the necessary information and understand all conditions noted in the final Applicant Statement. Once submitted, you will not be able to retrieve this application for further additions. Incomplete information could disqualify you from further consideration. Please complete all fields.

Personal Information

Full Name*

Email*

Phone Number*

Current Country*

Please select the country you currently reside in from the drop down list below.

Select or enter value

State*

Please select your state.

Select

City*

Street Address*

Example: 123 Anywhere Ave

Postal / ZIP Code*

Please provide your postal or ZIP code.

What is the best way to contact you?*

Phone

What is the best time of day to contact you?*

Morning

Afternoon

Evening

How did you hear about LAMP or this position?*

Select or enter value

Please provide the name of the LAMP team member who referred you.*

General Information

What position are you applying for? Select all that apply.*

Applicants located outside of the U.S. or in states other than Missouri, Illinois, and Kansas are NOT eligible for On-site Interpreter positions.

On-site Interpreter

Remote (Phone/Video) Interpreter

Document Translator

Other

Position Title*

Please provide the tile of the position you are applying for exactly as it is written in the job post.

If LAMP provides PPE and training on proper usage, would you be interested in also taking on-site appointments?*

Applicants located outside of the U.S. or in states other than Missouri, Illinois, and Kansas please select N/A.

Yes

N/A

Do you have a reliable method of transportation?*

Yes

Do you have a required hourly rate?*

Yes

Hourly Rate (USD)*

What language or languages are you applying for?*

Please list your languages (seperated by commas) in order of best written knowledge. Inlcude English and do NOT list more than three languages total.

Example: Spanish, Portuguese, English

Where did you learn to speak/write English? Select all that apply.*

Home/Family

School

Community

How many years did you study English?*

Where did you learn to speak/write your other langauge(s)? Select all that apply.*

Home/Family

School

Community

How many years did you study your other language(s)?*

Please provide additional details such as the country/location you studied in or the program name below.*

Are you legally able to work in the United States?*

(If hired, you will be required to verify your employment eligibility and identity within 3 business days in accordance with the Immigration Reform and Control Act of 1986.)

Yes

Are you 16 years of age or older?*

(If you are hired and are under the age of 16, you will be required to furnish the necessary work permits before being allowed to work.)

Yes

Have you ever applied to work at LAMP before?*

Yes

If yes, give the most recent date you applied.*

Have you ever been employed at LAMP before?*

Yes

If yes, please provide the date you were last hired.*

Are you currently employed?*

Yes

Are you laid off or subject to recall?*

Yes

If hired, on what date would you be available to start work?*

When are you available to take assignments for LAMP? Select all that apply.*

Select

About how many hours per week would you be available to take assignments?*

Select or enter value

Availability Notice

Applicants available less than an average of 20 hours per week will be hired as independent contractors and responsible for any fees associated with qualifiing them as an interpreter (~ $300). Reimbursement and financing options are available.

I understand.

Have you ever been convicted of or pleaded guilty to a misdemeanor or felony (other than a parking violation)?*

Yes

If yes, please explain.

A “yes” response will not disqualify you from consideration for employment. The nature and circumstances of the matters reported as well as their disposition are all important in the employment consideration.

Has any surety company ever refused to issue / continue any bond on your behalf?*

Yes

If yes, please explain.

Have you at any time been accused of child abuse?*

(You are required to answer this inquiry whether or not a criminal conviction arose out of the allegation.)

Yes

If yes, please explain.

Health Requirements

Can you preform all the essential functions of the position you are applying for with or without reasonable accommodation?*

Yes

Are you willing to have an annual Tuberculin test or provide documentation of the inability to do so?*

Yes

Are you willing to have an annual influenza vaccine or provide documentation of the inability to do so?*

Yes

Are you willing to have a COVID-19 vaccine or provide documentation of a valid medical or religious exemption?*

Yes

Skills & Qualifications

Have you ever professionally interpreted or translated before?*

Yes

Have you received any interpreter training?*

Yes

Please provide the organization or training program name below.*

Do you currently hold any professional interpreting certificates?*

Yes

Certification Type*

Please select your professional certification from the list. If your certification is not listed, please select other.

CCHI or NCMI

Bridging the Gap

Other

Employment History

Please provide the following information about your employement history starting with your most recent employement experience.

Employer 1

Company / Employer Name*

Address*

Year Started*

Select

Year Ended*

Select

Position / Job Title*

Employer 2

Company / Employer Name

Address

Year Started

Select

Year Ended

Select

Position / Job Title

Employer 3

Company / Employer Name

Address

Year Started

Select

Year Ended

Select

Position / Job Title

Education

In what language was the majority of your education taught?*

What is the highest level of education you have completed?*

Select

Did you recieve a GED, Diploma, Degree or certificate?*

Yes

Please provide the name of the institution where you completed your highest level of education.*

Please provide the address of the institution where you completed your highest level of education.*

Personal References

Please provide the name, email, telephone number, and relation of three persons who are NOT related to you and who are NOT previous employers.

Reference 1

Refernce Name*

Phone Number*

Email*

Relation*

Select or enter value

Reference 2

Name*

Phone Number*

Email*

Relation*

Select or enter value

Reference 3

Name*

Phone Number*

Email*

Relation*

Select or enter value

Applicant Statement & Agreement

EMPLOYER: Language. Access. Multicultural. People. (hereinafter referred to as "Employer"). I grant permission to the Employer to investigate thoroughly my complete personal, educational and work histories, and to verify all information that may be given in connection with my seeking of employment with the Employer. I also grant permission to the Employer to contact, in connection with my application and periodically thereafter if I am employed, the Missouri Division of Family Services and any other governmental agencies, organizations, corporations, entities, or individuals that the Employer deems necessary in order to verify the continued accuracy of any information given in connection with this application, and I agree to complete, in connection with my application and periodically thereafter if I am employed, any and all forms required by the Employer (including, but not limited to, an application for child abuse/neglect screening form to be submitted to the Missouri Department of Social Services). In addition, I release the Employer and all of its agents, as well as any individual or organization and all of their agents who supply written or oral information regarding myself to the Employer, from any and all liabilities resulting from such investigation or verification. I understand and agree that I may be denied employment or, if I am already employed, that my employment may be terminated based on information obtained during that investigation or verification. Upon termination of my employment with the Employer, regardless of when, how or why my employment is terminated, and whether such termination is affected by me or by the Employer, I authorize the release of reference information on all aspects of my employment history with the Employer and release the Employer and all its agents from any and all liability resulting from disclosure of information on my employment history.

In addition, I understand and agree that this application will be considered valid for a period of forty-five (45) days. I recognize that, if I wish to be considered after forty-five (45) days, I must complete a new application for employment.

I understand and agree that, if I am offered employment by the Employer, my employment will be based upon mutual agreement and that either the Employer or I may terminate the employment relationship at any time and for any reason. I further understand that no supervisor, agent or representative of the Employer has any authority to enter into any oral employment agreement with me for any period of time or to make any oral agreement contrary to the foregoing.

Finally, I certify that I have given true and accurate information and that I have read and agreed to the conditions of employment stated in this application and authorize the release as set forth above. If any information contained in this application is found, in the opinion of the Employer, to be false in any respect, my application for employment may be rejected. Similarly, if I am already employed, I will be subject to discharge without notice at any time.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.*

Applicant Signature*

Date

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