Child Welfare Monitor Application

Minimum Requirements:

Must be at least 18 years of age.
Have a valid, government issued photo identification.
Undergo a background check.

Note:

All applicants will be classified as 1099 Independent Contractors.
Applicants who speak multiple languages are strongly encouraged to apply, including American Sign Language.
Applicants will be notified within 3 to 5 business days on the status of their application.

Do you currently work for Tennessee Department of Children's Services (DCS)?

Yes

Unfortunately, as a current employee with the Tennessee Department of Children's Services (DCS) you are not eligible to apply due to potential conflicts of interest. The State of Tennessee requires at least six (6) months have passed since the last date of employment with DCS. Thank you for your interest.

PERSONAL INFORMATION

First Name

Middle Name

Last Name

Date of Birth

Race

American Indian or Alaskan Native

Asian / Pacific Islander

Black / African American

White / Caucasian

Multiple ethnicity / Other (please specify)

Specify if race is other.

Are you Hispanic?

Yes

Gender (assigned at birth)

Male

Female

CONTACT INFORMATION

Address Line 1

Address Line 2

City

State

Zip Code

Country

Have you lived at your current address for less than six (6) months?

Yes

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

BACKGROUND

Highest Level of Education

High School / GED / HiSET

Associate's Degree

Bachelor's Degree

Graduate or Professional Degree

Some College

Do you speak another language besides English?

Yes

If yes, please list other languages you speak.

Do you know American Sign Language?

Yes

Have you ever been convicted of a crime? (answering yes does not necessarily disqualify an applicant)

Yes

Do you have any experience working with children?

Yes

If yes, please briefly describe your experience working with children.

ADDITIONAL INFORMATION

How did you hear about us?

Relative/Friend

Flyer/Mailer

Google or other search engine

Radio/Television

School/College/University

Job Fair

Other

If other, please specify.

By submitting this application, you understand that a background check will be conducted which may include your educational, criminal, and employment history.

Yes

I certify that the information provided in this form is true and accurate to the best of my knowledge.