Avodah Placement Application

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Organizational Background











Please indicate for how many years the following people have been employed on your staff:





Organization Contacts

Who will be the Corps Member's primary supervisor?






Who will be the Corps Member's secondary supervisor?






Send Contract to Supervisor





Who should we send the contract to?






Send invoice to supervisor





Who should we send the invoice to at your organization?






Who is responsible for health insurance enrollment at your organization?





Who is responsible for health insurance enrollment at your organization?






Who else should receive information about the applicants?






Please note that the information provided here will be given to the candidates without editing or reformatting.
Volunteer Role Description







Service Environment







Status of Position





Please provide the following information on the location(s) where the Avodah Corps Member will serve.  If multiple locations, please list primary and secondary sites and indicate the days and hours at each:





Travel




Additional Information






Health Insurance







Financial Information

$
Please enter numbers only without any symbols.

Total Expenses for 

Salaries and Benefits

Placement Fee

Housing and Program Fee

Corps Member

Monthly Stipend

$500,000 and under

$2,600

$4,210

$450

$500,001 - 1,000,000

$3,100

$4,210

$450

$1,000,001 and over

$3,600

$4,210

$450



$

Total Expenses for Salaries and Benefits

Placement Fee

Housing and Program Fee

Corps Member Monthly Stipend

$500,000 and under

$2,950

$5,900

$470

$500,001 - 1,000,000

$3,450

$5,900

$470

$1,000,001 and over

$3,950

$5,900

$470


$

Total Expenses for Salaries and Benefits

Placement Fee

Housing and Program Fee

Corps Member Monthly Stipend

$500,000 and under

$2,900

$1,640

$450

$500,001 - 1,000,000

$3,400

$1,640

$450

$1,000,001 and over

$3,900

$1,640

$450


$

Total Expenses for Salaries and Benefits

Placement Fee

Housing and Program Fee

Corps Member Monthly Stipend

$500,000 and under

$2,700

$5,700

$505

$500,001 - 1,000,000

$3,200

$5,700

$505

$1,000,001 and over

$3,700

$5,700

$505


$

Total Expenses for Salaries and Benefits

Placement Fee

Housing and Program Fee

Corps Member Monthly Stipend

$500,000 and under

$2,700

$5,700

$505

$500,001 - 1,000,000

$3,200

$5,700

$505

$1,000,001 and over

$3,700

$5,700

$505


$