Exchange Program Coordinator Application

Thank you for your interest in becoming a SHARE! Exchange Program Coordinator. Please fill out our online application below, completely.

When you are finished, your answers will be sent to the Team Leader for your area. He or she will contact you and conduct a brief interview, and you will receive instructions for how to complete your Criminal Background Check online.

* denotes required field.

*Full Legal Name:

*Address:

*City:

*State:

*Zip:

*Home Phone Number:

*Cell Phone Number:

Fax Number:

*Email Address:

*How long have you lived in your current community?

*Have you ever hosted an exchange student? Yes No

If yes, when and through which program?

*Have you worked for any other exchange organizations? Yes No

If yes, when? For which program? In what capacity?

What was your reason for leaving?

*Have you had any contact with any child protective services agency in the past? Yes No

If yes, please indicate when and for what reason.

How did you learn about SHARE!?

*Are you currently employed? Yes No

If yes, what is your work schedule?

Please list employment history (current or most recent employment first):

*1. Month / Year

*Name of employer

*Duties / Responsibilities

2. Month / Year

Name of employer

Duties / Responsibilities

3. Month / Year

Name of employer

Duties / Responsibilities

*Educational background: High School Diploma Some College College Degree

Please list ay other background or training you feel would be helpful to you as an Exchange Program Coordinator:

Please list two professional references with complete information:

1st Reference

*Name

*Relationship

*Time Known

*Complete Mailing Address

*Telephone

*Email

2nd Reference

*Name

*Relationship

*Time Known

*Complete Mailing Address

*Telephone

*Email

Please list two personal references with complete information:

1st Reference

*Name

*Relationship

*Time Known

*Complete Mailing Address

*Telephone

*Email

2nd Reference

*Name

*Relationship

*Time Known

*Complete Mailing Address

*Telephone

*Email

To be successful as an Exchange Program Coordinator, you have to be comfortable talking with people and promoting the program. Please describe sales or networking experience that you have:

*Please list by name any community (civic, educational, religious, sports, professional, etc.) organizations in which you are an active participant or for which you have volunteered. List your duties/responsibilities/activities in the organization and the approximate length of your involvement:

*Describe a situation or project in which you were involved, where you were expected to meet a specific goal (produce a result by a deadline):

*Describe a situation at home or work where you helped resolve a conflict or mediate a problem. What was the problem? How did you help resolve it?

*Why are you interested in working with SHARE! to promote international exchange?

*Have you ever been convicted of (or pleaded guilty or nolo contendere to) a crime? Do not identify marijuana-related misdemeanor convictions occurring more than two years ago or convictions for which the criminal record has been expunged, sealed or eradicated by the court, or misdemeanor convictions for which any probation has been completed and the case dismissed by the court.)

Yes No

*If yes, please explain:

Any additional comments or questions you have:

*I certify that the information given on this application is true and complete to the best of my knowledge.

* denotes required field.