DONOR REQUEST FORM REQUEST A RESERVATION

EMPLOYMENT APPLICATION


  Personal Information
  Name Telephone Address
 
  City State Zip Code
 
  Email:
   
  If you are under 18, can you furnish a work permit? Yes No
  Have you ever been employed here before? Yes No
  Are you legally eligible for employment in this country? Yes No
  Date available for work:
  Type of employment desired: Full-time Part-time Mentoring
  Position desired:
  Have you been convicted of a felony in the last seven years? Yes No
   
  Employment History
  List your last four employers, assignments, and volunteer activities, starting with the most recent including military experience.
1. Employer Telephone Address
 
  City State Zip Code
 
  Job Title Supervisor Supervisor Title
 
  Employment Start Date Employment End Date  
  (mm/dd/yyyy) (mm/dd/yyyy)  
  Reason for Leaving
 
   
2. Employer Telephone Address
 
  City State Zip Code
 
  Job Title Supervisor Supervisor Title
 
  Employment Start Date Employment End Date  
  (mm/dd/yyyy) (mm/dd/yyyy)  
  Reason for Leaving
 
   
3. Employer Telephone Address
 
  City State Zip Code
 
  Job Title Supervisor Supervisor Title
 
  Employment Start Date Employment End Date  
  (mm/dd/yyyy) (mm/dd/yyyy)  
  Reason for Leaving
 
   
4. Employer Telephone Address
 
  City State Zip Code
 
  Job Title Supervisor Supervisor Title
 
  Employment Start Date Employment End Date  
  (mm/dd/yyyy) (mm/dd/yyyy)  
  Reason for Leaving
 
   
 
Skills and Qualifications
  Summarize special skills and qualifications acquired, employment or other experiences that may qualify you for work with our company.
 
 
Education Background
  High School Location Graduate?
  Yes No
   
  College Location  
   
  Course of Study Years Completed Degree?
  Yes No
   
  Other Location  
   
  Course of Study Years Completed Degree?
  Yes No
       
 
References
  Name Telephone Relationship
 
 
 
  By clicking submit you are agreeing to the following:

"I certify that all the information submitted by me on this application is true and complete, and I understand if any information, omissions, or misrepresentations are discovered, my application may be rejected and if I am hired, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that employment and compensation can be terminated, with or without cause, and with or without notice, at either my or the company's option. I understand that no company representative, other than its president, and then only when in writing and signed by the president, has authorization to enter into any agreement for any specific period of time.

I give the employer the right to investigate all references and to secure additional information about me, if job related. I hereby release liability the employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information."
       
   
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