General Information

Check here if you are Volunteering for QHS

First Name:

Last Name:

Email*:

Address:

Phone Number:

Desired Salary: (leave blank if volunteering)

Social Security Number*:

Date of Birth*:

Are you a citizen of the United States?

If no, are you authorized to work in the U.S?

Have you ever worked for this company?

If yes, when?

Have you ever been convicted of a felony?

If yes, explain:

What is your motivation to work for or volunteer for QHS?

How would you like to contribute to benefit the QHS project, admin, and members?

If looking to volunteer, what is your availability? (hours per week, days/times of day, etc)

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Education

Most Recent School Attended

From:

To:

Did you graduate?

Additional Schooling:

Address:

From:

To:

Did you graduate?

Degree:

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References

Please list professional references. There is space for three, and it is required to submit one.

Full Name:

Relationship:

Company:

Phone:

Address:

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Full Name:

Relationship:

Company:

Phone:

Address:

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Full Name:

Relationship:

Company:

Third Reference Phone

Address:

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Previous Employment

Please list your most recent place of employment:

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary

Ending Salary:

Responsibilities:

From:

To:

Reason For leaving:

May we contact Supervisor for a reference?

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If you would like to note additional places of employment, please use these fields. If you don’t find this information relevant to your experience, leave it blank.

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact Supervisor for a reference?

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Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

May we contact Supervisor for a reference?

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Military Service

Many of our applicants have a rich history of experience. The following fields may or may not apply to you, so please fill out the ones you would like to use and leave the other fields blank.

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

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Philanthropic Associations

Name of the Organization:

What did you do to participate in this organization?

Location

Years Involved

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Name of the Organization

What did you do to participate in this organization?

Location

Years Involved

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Personal Development

If you have relevant areas of study or interest, you may share that here:

Topic Studied

What did you learn from this area of study or interest?

Name of organization or individual who guided your study:

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Topic Studied

What did you learn from this area of study or interest?

Name of organization or individual who guided your study:

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Topic Studied

What did you learn from this area of study or interest?

Name of organization or individual who guided your study:

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If you feel there is anything about your areas of experience that were not captured above, please enter it here. This field has a maximum character limit of 1000 characters. If you feel your experience was fully captured through the above questions, please leave this field blank.

Additional Information

Please submit your resume by attaching it here:

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Optional: If you have a cover letter or letter of introduction that you would like to include, please upload it here. It is not required.

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Upload Cover Letter or letter of Introduction

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Disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that there will be a full background check. Any false or misleading information in my application or interview may result in my release.

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-Admin NDANC-

NON-DISCLOSURE AGREEMENT

This agreement (AGREEMENT) is entered into on [Today] (EFFECTIVE DATE) between Dr. Alfredo, MD, and CYNTHIA C., and DIVINE SCRIPTURE®, heretofore “The Company” (DISCLOSING PARTY) whose address is 106 N. Denton Tap Road, Coppell, Texas 75019 and NAME: , (RECEIVING PARTY), whose address is ,

WHEREAS, the DISCLOSING PARTY owns and maintains all rights and privileges with respect to certain intellectual property: technology, documents, data, specifications, methods, processes and general information related to QUANTUM HEALING SYSTEMS®, THE “QHS PROJECT” (the PROJECT), including subsequent inventions, and any and all including QHS delivered by any means, in any venue.

WHEREAS the DISCLOSING PARTY is prepared to share with the RECEIVING PARTY proprietary information (hereinafter referred to as CONFIDENTIAL INFORMATION) as may be required for purpose of discussion, education and instruction, and further product, and project development, and for purposes of health and healing of the human body, energy and frequency-related inventions.

WHEREAS, the RECEIVING PARTY is a professional trained in disciplines relative to this discussion and seeking to participate in a key role in this humanitarian venture. This “key role” will begin as “ADMIN Team Member,” contributing in myriad ways with this startup humanitarian organization. Specific tasks to be defined in additional communications.
NOW, THEREFORE, in consideration of the mutual covenants, agreements, and representations set forth herein, and other valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. The DISCLOSING PARTY may in its sole discretion and for the purpose of educating and instructing, the RECEIVING PARTY; provide to the RECEIVING PARTY information in written or oral form, including, but not limited to the development and distribution of: technology, patented or not; and other confidential information, some or all of which may be trade secrets, business secrets, or other intellectual property owned by the DISCLOSING PARTY. All such information is hereinafter collectively referred to as “CONFIDENTIAL INFORMATION” and is deemed to be confidential whether expressly so designated by the DISCLOSING PARTY at the time of disclosure. Written information, if any, provided to the RECEIVING PARTY shall be identified as “CONFIDENTIAL”.

2. The RECEIVING PARTY covenants and agrees to keep confidential the CONFIDENTIAL INFORMATION and further covenants and agrees not to disclose or otherwise convey any portion of said CONFIDENTIAL INFORMATION without express written permission. The RECEIVING PARTY shall not reproduce or copy the CONFIDENTIAL INFORMATION and will take all other steps required to protect its confidentiality. The RECEIVING PARTY may not disclose CONFIDENTIAL INFORMATION to a third party without the prior consent of the DISCLOSING PARTY (which consent may be withheld at the sole discretion of the DISCLOSING PARTY).

3. The RECEIVING PARTY expressly covenants that the terms of this AGREEMENT shall apply to all persons who receive from it, directly or indirectly, the CONFIDENTIAL INFORMATION, and that the RECEIVING PARTY shall be held legally responsible for any and every breach of this AGREEMENT including each and every unauthorized disclosure. The term “person” as used herein shall be construed broadly and includes, but is not limited to, any corporation, company, partnership, joint venture, and/or individual.

4. The RECEIVING PARTY hereby expressly acknowledges that it shall not acquire any proprietary rights whatsoever in the CONFIDENTIAL INFORMATION by reason of receiving CONFIDENTIAL INFORMATION from the DISCLOSING PARTY or by other conduct consistent with this AGREEMENT.

5. The parties hereby expressly acknowledge that this AGREEMENT shall in no way be construed as a grant of a license with respect to CONFIDENTIAL INFORMATION.

6. For a period of TEN (10) years from the EFFECTIVE DATE of this AGREEMENT, the RECEIVING PARTY shall not, without the prior written consent and authorization from the DISCLOSING PARTY, act, either individually or in partnership with any other person or business entity, other than the DISCLOSING PARTY, directly or indirectly, in the pursuit of any transaction in any way related to a business, anywhere in the world, involving any of the proprietary disclosures made in confidence.

7. The RECEIVING PARTY recognizes that any violations of its obligations under this AGREEMENT may cause the DISCLOSING PARTY irreparable injury and damages. Consequently, the RECEIVING PARTY agrees that the DISCLOSING PARTY shall be entitled, in addition to all other remedies which may be available to the DISCLOSING PARTY, to injunctive and equitable relief to prevent any such violation or to secure enforcement of the RECEIVING PARTY’S obligations with respect to such violation.

8. No failure or delay in exercising any right, power, or privilege hereunder shall operate as a waiver thereof, and no single or partial exercise thereof shall preclude any other or further exercise of any right, power, or privilege hereunder.

9. This AGREEMENT shall be governed by and construed in accordance with the laws of the UNITED STATES OF AMERICA as set forth in articles 223, items III, IV and V, and 224, 226, of the Industrial property law, urging the competent authorities as well as the payment of damages for penalty which would be regarded by the Commission of such crimes. As well as it will be set out in articles 210, 211 and 211 bis of the Penal Code for the Federal District, for crime of disclosure of trade secret.

In the event RECEIVING PARTY resides outside of the UNITED STATES OF AMERICA, the laws of the US take precedence and will be the locale for any and all legal adjudication.

10. This AGREEMENT represents the entire agreement between the parties with respect to CONFIDENTIAL INFORMATION, NEW INTELLECTUAL PROPERTY, and all other terms hereunder.

IN WITNESS WHEREOF, the parties have accepted and agreed to this three-page AGREEMENT as of the date first set forth on Page 1 above.

DISCLOSING PARTY: CYNTHIA C CEO, DIVINE SCRIPTURES®	RECEIVING PARTY: NAME:

ADDRESS: 106 N. Denton Tap Rd., Ste. 210-167 Coppell, Texas 75019, USA DATE: [Today]	ADDRESS: ,
EMAIL: cynthia@qunatumhealingsystems.org	EMAIL:
PHONE: Cynthia C	PHONE:

Date signed*:

Typed Name*:

Application Signature*:

By signing above and clicking on submit you agree to all above terms.

Submit

-QHS Application-

Welcome! Please complete the information below, including the Non-Disclosure Agreement (NDA) that is part of the application, and submit when finished. You may also upload a resume (required) or introduction letter (optional) using the attachment section.

General Information

Education

References

Please list professional references. There is space for three, and it is required to submit one.

Previous Employment

Military Service

Philanthropic Associations

Personal Development

Disclaimer

-Admin NDANC-

By signing above and clicking on submit you agree to all above terms.