Join Our Team

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Full Name *

Gender *

Male
Female
Prefer not to say

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Address 1 *

Address 2

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City *

State *

Zip *

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Email *

Phone *

Separate cell/mobile phone? *

Yes
No
Same as Phone

Age *

Date of Birth *//

Place of Birth *

Marital Status *

Appliances

Food Allergies & Medications

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Do you have any food allergies? *

Yes
No

Do you take any medications? *

Yes
No

Restrictions & Other Issues

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Do you have any medical limitations and/or restrictions? *

Yes
No

Do you have any dietary restrictions? *

Yes
No

Other issues we should be aware of? *

Yes
No

Health Insurance

Do you have health insurance? *

Yes
No

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Emergency Contact 1

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Emergency contact 1: name *

Emergency contact 1: phone number *

Does emergency contact 1 have a separate cell/mobile phone cell/mobile phone? *

Yes
No
Same as Phone

Emergency Contact 2

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Emergency contact 2: name *

Emergency contact 2: phone number *

Does emergency contact 2 have a separate cell/mobile phone number? *

Yes
No
Same as Phone

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Do you have any training or experience with adults with special needs? *

Yes
No

Do you have travel experience? *

Yes
No

Have you ever volunteered for another special needs travel company or provided travel assistance services for people with special needs through your job or personally? *

Yes
No

Please share any other experience within the field of special needs

Current/Last Employer

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Current/Last Employer *

Supervisor *

Job Title *

Brief Job Description *

Still employed? *

Yes
No

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Current/Last Employment Start Date *//

Current/Last Employer address (street, city, state, zip) *

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Current/Last Employer: Phone *

Previous Employment

Were you employed prior to your last job? *

Yes
No

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Reference 1

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Reference 1: Full Name *

Reference 1: Phone *

Reference 1: Email *

Reference 1: Relationship *

Reference 2

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Reference 2: Full Name *

Reference 2: Phone *

Reference 2: Email *

Reference 2: Relationship *

Reference 3 (optional)

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Reference 3: Full Name

Reference 3: Phone

Reference 3: Email

Reference 3: Relationship

How did you hear about The Guided Tour, Inc. *

What contributions do you think you can make to The Guided Tour, Inc.? *

Would it be possible for you to appear for a personal interview at our Elkins Park, PA office? *

Yes
No

Driver's License

Do you have a driver's license? *

Yes
No

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Passport

Do you have a passport? *

Yes
No

IT IS REQUIRED BY LAW THAT ALL INDIVIDUALS WORKING IN A PUBLIC FACILITY FOR CHILDREN READ AND RESPOND TO THE FOLLOWING DISCLOSURE.

In consideration of employment or continued employment, the undersigned employee agrees to disclose the following:

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Have you ever been questioned by police, campus police or any other law enforcement agent or officer regarding a criminal charge? *

Yes
No

Have you ever been arrested, convicted, or brought to court for any criminal charge? *

Yes
No

Have you ever been notified by any child welfare agency that you were the subject of a suspected child abuse report? *

Yes
No

The undersigned fully agrees that:

Possession of or use of non-medically prescribed drugs or alcoholic beverages while traveling with The Guided Tour, Inc. shall be reason for immediate dismissal.
Physically abusing, indecent touching or exposure of or to a traveler shall be reason for immediate dismissal.

It is also asked that employee shall keep the Director informed of any offenses, convictions or arrests subsequent to the signing of this disclosure.

The employee warrants that the age, schooling, degrees and all other statements included in this application are true. Any misrepresentation shall give the camp the right to cancel the contract.

It is hereby agreed that any and all rules, regulations and policies of the camp and any special clauses attached hereto are made part of this contract.

Criminal Background Check *

Perspective employee gives permission for a criminal background check to be done.

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Full Name (in lieu of employee signature) *

Date Signed *

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SSN (Only Last 4 Digits) *

Date of Birth *//