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Family & Collaboration Liaison

4f1cec23 E570 4950 839f 0c7e7c20051a 19000101 000001 · Azalea Middle School , St. Petersburg, FL, US, St. Petersburg, FL · Active · $36,000–$38,000 / year · ADP Workforce Now Recruiting

Job facts

FieldValue
Company4f1cec23 E570 4950 839f 0c7e7c20051a 19000101 000001
TitleFamily & Collaboration Liaison
Normalized title-
Department / team-
LocationAzalea Middle School, FL, United States
Work model-
Employment typeFull Time
Salary$36,000–$38,000 / year
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-05-22 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

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Linked records

Company4f1cec23 E570 4950 839f 0c7e7c20051a 19000101 000001
Source234689bc-fa9b-4684-8773-10e2dfc0b3b7
ATS providerADP Workforce Now Recruiting

Description

POSITION TITLE: Family & Collaboration Liaison DEPARTMENT: Operations REPORTS TO: Club Director SALARY/FLSA STATUS: Non- Exempt/Full Time ORGANIZATION MISSION: We prepare youth and young adults to be ready for college, career, and life. POSITION SUMMARY: Under the supervision of the Club Director, the Family & Collaboration Liaison is responsible for effectively engaging families, school personnel and community members to support students’ achievements. The Family & Collaboration Liaison will deliver innovative thinking and business-changing recommendations that will support the core of our youth development and social impact work. The Family & Collaboration Liaison serves as a liaison between teachers, parents, students, support staff and the community regarding educational programs, services, and student issues in areas such as attendance, academics, behavior and health. The successful candidate will show passion for youth, be able to articulate how they steward resources, identify how integrity relates to the position, and have a history of demonstrating respect for all contacts including clients, peers, agency partners, and the general community. JOB REQUIREMENTS: Coordinates program assigned activities and case management (home visits, parent meetings, parent/volunteer involvement programs, community involvement processes, etc.). Make phone calls and home visits assigned to identified students and families. Assist counselors and teachers in communicating with the parents of students who are having attendance and academic problems in school. Attend IEP meetings for the purpose of conveying and/or gathering information to ensure students’ academic progress. Assist in coordinating and arranging various programs and services to meet the needs of students. Provide outreach, liaison, and guidance services to assist in resolving student issues and problems in areas such as attendance, academics, behavior, and health; work with parents, teachers, and others in developing and implementing strategies, goals, and objectives for resolving student issues. Serve as an informational resource to parents, staff and others concerning school programs, services, attendance issues and other matters; respond to inquiries and provide information concerning related activities, standards, guidelines, practices, goals, objectives, processes, policies, and procedures. Provide tutoring and academic assistance to individual and small groups of students to enhance skills and knowledge and resolve academic issues in various subject areas as assigned by the position; assist students in understanding and completing assignments, homework, and projects. Compose, distribute, and respond to a variety of correspondence related to assigned liaison and support services; initiate and receive telephone calls; make home visits; and schedule and arrange various student, parent and other appointments as assigned. Establish and maintain partnerships with community agencies to facilitate and enhance support services for students, parents, and teachers. Assist in coordinating and arranging various programs and services to meet the needs of students, parents, and teachers. Organize parent and family engagement forums and educational learning opportunities (e.g., enhancing parenting skills, volunteer training, child growth, and development) for enriching family members supporting family needs. Assist in other areas as needed. QUALIFICATIONS: Bachelor’s degree from an accredited college or university preferred. Any combination equivalent to sufficient experience, training and/or education to demonstrate the knowledge and abilities listed above. Typically, this would be gained through graduation from college and two years of work experience with students or families in a social services or educational environment. Considerable knowledge of the mission, objectives, policies, programs, and procedures of Boys & Girls Clubs and/or the practices and principles of non-profit organizations. Strong communication skills, both oral and written; ability to speak effectively and persuasively to groups and individuals, demonstrates resiliency and instilling trust in others, while developing a culture of caring. Ability to manage multiple tasks and to develop solutions to problems with limited supervision. Valid driver’s license and approved to drive by our insurance carrier (minimum age 21). TRAVEL: Travel will be required to multiple Club facilities throughout Hillsborough, Pasco, Hernando and Pinellas County for supervisory, training and/or other business purposes. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, stand, walk, kneel, stoop, and use a keyboard. The employee is occasionally required to bend and lift and/or move up to 30 lbs. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate - high. Flexibility to working schedules may be required due to changing needs. DISCLAIMER: The information presented indicates the general nature and level of work expected of employees in the classification. It is not designed to contain, nor to be interpreted as, a comprehensive inventory of all duties, responsibilities, qualifications, and objectives required of employees assigned to this job. Reasonable accommodation will be possible and based on an individual basis. OPPORTUNITY EMPLOYER: Qualified applicants receive consideration for employment without discrimination because of race, color, gender, religion, national origin, ancestry, citizenship, disability, age, sexual orientation, or any other characteristic protected by law. Signed By:______________________________________________________________ Printed Name:_____________________________________________________________ Date: ________________________________

Full job record

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Org ID8134fe99-d18d-4516-b147-831dcd7cfc6c
Source ID234689bc-fa9b-4684-8773-10e2dfc0b3b7
Board ID234689bc-fa9b-4684-8773-10e2dfc0b3b7
Provideradp_workforcenow
Provider Job Key939038
TitleFamily & Collaboration Liaison
Normalized Title—
Statusactive
Activeyes
Location TextAzalea Middle School , St. Petersburg, FL, US, St. Petersburg, FL
Department—
Team—
Employment Typefull_time
Workplace Type—
Remote Policy—
CountryUnited States
RegionFL
CityAzalea Middle School
Salary Raw36000.00 To 38000.00 (USD) Annually
Salary Min36,000
Salary Max38,000
Salary CurrencyUSD
Salary Periodyear
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=4f1cec23-e570-4950-839f-0c7e7c20051a&ccId=19000101_000001&lang=en_US&type=JS&jobId=939038&jwId=9202054473423_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=4f1cec23-e570-4950-839f-0c7e7c20051a&ccId=19000101_000001&lang=en_US&type=JS&jobId=939038&jwId=9202054473423_1
First Seen At2026-05-31 18:22:31Z
Last Seen At2026-06-06 13:08:07Z
Last Checked At2026-06-06 13:08:07Z
Last Changed At2026-06-06 13:08:07Z
Inactive At—
Source Posted At2026-05-22 02:25:00Z
Source Updated At—
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Extensions
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    "requisitionDescription": "<div><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><img src=\"https://static.workforcenow.adp.com/cccustom/Client/Recruitment/1%20%20logo_84c1b8e3-9bd2-4e64-9a92-02004643cca3.jpg\" style=\"width: 206px;\" class=\"fr-fic fr-dib\"></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><br></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><br></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;' data-pasted=\"true\"><strong>POSITION TITLE:</strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Family &amp; Collaboration Liaison</p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><strong>DEPARTMENT:</strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Operations</p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><strong>REPORTS TO: &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</strong>Club Director</p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;vertical-align:baseline;'><strong>SALARY/FLSA STATUS: &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</strong>Non-<strong>&nbsp;</strong>Exempt/Full Time &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:white;'><span style=\"color:#222222;\">&nbsp;&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><strong>&nbsp;</strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:white;'><span style=\"color:#222222;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:white;'><strong><u><span style=\"color:#222222;\">ORGANIZATION MISSION:</span></u></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:white;'><span style=\"color:#222222;\">&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Times New Roman\",serif;' data-pasted=\"true\">We prepare youth and young adults to be ready for college, career, and life.</p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><br></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><span style=\"color:#222222;\"><br>&nbsp;</span><strong><u>POSITION SUMMARY:</u></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:white;'><span style=\"color:#222222;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">Under the supervision of the Club Director, the&nbsp;</span><span style=\"color:black;\">Family &amp; Collaboration&nbsp;</span><span style=\"color:#222222;\">Liaison is responsible for effectively engaging families, school personnel and community members to support students&rsquo; achievements.&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">The&nbsp;</span><span style=\"color:black;\">Family &amp; Collaboration&nbsp;</span><span style=\"color:#222222;\">Liaison will deliver innovative thinking and business-changing recommendations that will support the core of our youth development and social impact work. The&nbsp;</span><span style=\"color:black;\">Family &amp; Collaboration</span><span style=\"color:#222222;\">&nbsp;Liaison serves as a liaison between teachers, parents, students, support staff and the community regarding educational programs, services, and student issues in areas such as attendance, academics, behavior and health.&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">The successful candidate will show passion for youth, be able to articulate how they steward resources, identify how integrity relates to the position, and have a history of demonstrating respect for all contacts including clients, peers, agency partners, and the general community. &nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:white;'><strong><span style=\"color:#222222;\">&nbsp;</span></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:white;'><strong><span style=\"color:#222222;\">&nbsp;</span></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:white;'><strong><u><span style=\"color:#222222;\">JOB REQUIREMENTS:</span></u></strong></p><ul type=\"disc\" style=\"margin-bottom:0in;\"><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Coordinates program assigned activities and case management (home visits, parent meetings, parent/volunteer involvement programs, community involvement processes, etc.).</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Make phone calls and home visits assigned to identified students and families.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Assist counselors and teachers in communicating with the parents of students who are having attendance and academic problems in school.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Attend IEP meetings for the purpose of conveying and/or gathering information to ensure students&rsquo; academic progress.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Assist in coordinating and arranging various programs and services to meet the needs of students.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Provide outreach, liaison, and guidance services to assist in resolving student issues and problems in areas such as attendance, academics, behavior, and health; work with parents, teachers, and others in developing and implementing strategies, goals, and objectives for resolving student issues.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Serve as an informational resource to parents, staff and others concerning school programs, services, attendance issues and other matters; respond to inquiries and provide information concerning related activities, standards, guidelines, practices, goals, objectives, processes, policies, and procedures.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Provide tutoring and academic assistance to individual and small groups of students to enhance skills and knowledge and resolve academic issues in various subject areas as assigned by the position; assist students in understanding and completing assignments, homework, and projects.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Compose, distribute, and respond to a variety of correspondence related to assigned liaison and support services; initiate and receive telephone calls; make home visits; and schedule and arrange various student, parent and other appointments as assigned.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Establish and maintain partnerships with community agencies to facilitate and enhance support services for students, parents, and teachers.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Assist in coordinating and arranging various programs and services to meet the needs of students, parents, and teachers.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Organize parent and family engagement forums and educational learning opportunities (e.g., enhancing parenting skills, volunteer training, child growth, and development) for enriching family members supporting family needs.&nbsp;</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Assist in other areas as needed.</li></ul><p><br></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;background:white;'><strong><u><span style=\"color:#222222;\">QUALIFICATIONS:</span></u></strong></p><ul type=\"disc\" style=\"margin-bottom:0in;\"><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Bachelor&rsquo;s degree from an accredited college or university preferred.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Any combination equivalent to sufficient experience, training and/or education to demonstrate the knowledge and abilities listed above. Typically, this would be gained through graduation from college and two years of work experience with students or families in a social services or educational environment.&nbsp;</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Considerable knowledge of the mission, objectives, policies, programs, and procedures of Boys &amp; Girls Clubs and/or the practices and principles of non-profit organizations.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Strong communication skills, both oral and written; ability to speak effectively and persuasively to groups and individuals, demonstrates resiliency and instilling trust in others, while developing a culture of caring.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\">Ability to manage multiple tasks and to develop solutions to problems with limited supervision.</li><li style=\"margin:0in;font-size:16px;font-family: initial;color:#222222;line-height:115%;background:white;\"><span style='line-height:115%;font-family:\"Times New Roman\",serif;font-size:16px;color:#222222;'>Valid driver&rsquo;s license and approved to drive by our insurance carrier (minimum age 21).</span></li></ul><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;background:white;'><strong><span style=\"color:#222222;\">&nbsp;</span></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;background:white;'><strong><u><span style=\"color:#222222;\">TRAVEL:</span></u></strong></p><p style='margin-right:0in;margin-left:.25in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;margin-top:0in;margin-bottom:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><span style=\"color:black;\">Travel will be required to multiple Club facilities throughout Hillsborough, Pasco, Hernando and Pinellas County for supervisory, training and/or other business purposes.</span></p><p style='margin-right:0in;margin-left:.25in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;margin-top:0in;margin-bottom:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;background:white;'><strong><u><span style=\"color:#222222;\">PHYSICAL DEMANDS:</span></u></strong></p><p style='margin-right:0in;margin-left:.25in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;margin-top:0in;margin-bottom:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, stand, walk, kneel, stoop, and use a keyboard. The employee is occasionally required to bend and lift and/or move up to 30 lbs.&nbsp;</span></p><p style='margin-right:0in;margin-left:.25in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;margin-top:0in;margin-bottom:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;background:white;'><strong><u><span style=\"color:#222222;\">WORK ENVIRONMENT:</span></u></strong></p><p style='margin-right:0in;margin-left:.25in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;margin-top:0in;margin-bottom:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate - high. Flexibility to working schedules may be required due to changing needs. <strong>&nbsp; &nbsp;</strong></span></p><p style='margin-right:0in;margin-left:.25in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;margin-top:0in;margin-bottom:0in;line-height:115%;background:white;'><span style=\"color:#222222;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;vertical-align:baseline;'><strong><u><span style=\"color:#222222;\">DISCLAIMER:</span></u></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;vertical-align:baseline;'><strong><span style=\"color:#222222;\">&nbsp;</span></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;vertical-align:baseline;'><span style=\"color:#222222;\">The information presented indicates the general nature and level of work expected of employees in the classification. It is not designed to contain, nor to be interpreted as, a comprehensive inventory of all duties, responsibilities, qualifications, and objectives required of employees assigned to this job. Reasonable accommodation will be possible and based on an individual basis.</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;vertical-align:baseline;'><strong><span style=\"color:#222222;\">&nbsp;</span></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;vertical-align:baseline;'><strong><u><span style=\"color:#222222;\">OPPORTUNITY EMPLOYER:</span></u></strong><u><span style=\"color:#222222;\"> </span></u></p><p style='margin-right:0in;margin-left:.25in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;vertical-align:baseline;'><span style=\"color:#222222;\">&nbsp;</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;vertical-align:baseline;'><span style=\"color:#222222;\">Qualified applicants receive consideration for employment without discrimination because of race, color, gender, religion, national origin, ancestry, citizenship, disability, age, sexual orientation, or any other characteristic protected by law.</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;line-height:115%;vertical-align:baseline;'>&nbsp;</p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-indent:.25in;'><strong>&nbsp;</strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-indent:.25in;'><strong>&nbsp;</strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><strong>Signed By:______________________________________________________________</strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><strong>&nbsp;</strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><strong>Printed Name:_____________________________________________________________</strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-indent:.25in;'><strong>&nbsp;</strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><strong>Date: ________________________________</strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'>&nbsp;</p></div>\n",
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