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CPF Staff Application

CPF Staff Application

Personal Information

As a Medical Instructor candidate, it is important to understand that:

As a Medical Instructor candidate, it is important to understand that:

Campaign Pay It Forward LLC (CPF) takes the safety of its students very seriously. By completing a background check which includes a sexual offense safety check, CPF is able to take extra precautions against potential incidents. Given the nature of the courses taught, all staff must pass both criminal and sexual offender checks in order to be considered for employment with CPF.

By completing and submitting this staff application, the applicant agrees to a criminal background check as well as a sex offender check. Any offenses against children are considered immediate disqualification to work for CPF.

I Have Taken a CPF Course in the Past

    I Have Taken a CPF Course in the Past

    YesNo
    First Name
    Last Name
    E-mail Address
    Phone Number
    Street Address
    City
    State/Province
    Zip Code
    Age
    YesNo

    Current Certifications:

    CPR/AED - AdultCPR/AED - Child, InfantCPR/AED - Healthcare Provider (Professional Level)Standard First AidLifeguard (Red Cross or Ellis)Wilderness First Aid (WFA)First ResponderWilderness First Responder (WFR)EMT-BWEMTEMT-IEMT-PPARN/LPN/BSNMDOther (specify in comments section)American Red Cross InstructorAmerican Heart Association Instructor

    Languages That I'm Fluent In:

    EnglishSpanishGermanFrenchChineseJapaneseHindi

    Position & Availability

    Position(s) Interested *

    Instructor -- Wilderness MedicineInstructor -- American Red CrossSpecial Event EMS Team Member (VA, DC, MD only)Administrative AssistantInternshipVolunteer & Alumni Coordinator

    Can you work weekdays?

    YesNo

    Can you work weekday evenings?

    YesNo

    Can you work weekends?

    YesNo

    Can you work holidays?

    YesNo

    When can you start?

    Experience Questions

    References

    Please provide two professional and one personal reference. Please do NOT use immediate family or relatives. All references will be checked.

    Professional Reference (1)

    Professional Reference (2)

    Personal Reference

    Resume, Cover Letter & Photo

    Upload Resume

    Upload Your Photo

    Terms & Conditions

    Terms & Conditions

    By clicking "Submit", I attest that all of the information enclosed with my employment application is correct to the best of my knowledge and grant the Center for Wilderness Safety permission to contact my references and perform a background check.

    The Center for Wilderness Safety Inc, a non-profit organization, does not discriminate on the basis of race, color, national origin, sex, age, religion, sexuality, or disability in admission/access to, or treatment/employment in its programs and activities.

    Campaign Pay It Forward believes that regardless of an individual’s financial situation, everyone should be equipped with the knowledge of how to save a life.
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    Contact Info

    9893 Georgetown Pike Suite 105 Great Falls, VA 22066
    Mon - Sat: 8:30AM-6:00 PM
    1-833-273-6263
    info@campaignpayitforward.com

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