Position Applying For Position Applying ForDirector of Business & Financepart timeseason

Personal Information

Name:

Phone:

Mailing Address:

Email:

Current Drivers License Current Drivers License Yes No

Class: State:

Are you at least 16 years of age or older Are you at least 16 years of age or older Yes No

Are you at least 18 years of age or older Are you at least 18 years of age or older Yes No

Are you eligible to work in the US? Are you eligible to work in the US? Yes No

Have you worked with us before? If so, When? Position Held?

General Information

Date available to begin employment?

Are you willing to work weekends/holidays? Are you willing to work weekends/holidays? Yes No

Are you willing to work both days and evenings? Are you willing to work both days and evenings? Yes No 10-20 Hours 20-30 Hours 30-40 Hours

Hours Preferred

Are/were you in the Armed Forces? Are/were you in the Armed Forces? Yes No

If yes, what branch?

Educational Preparation: (High School, College/Trade School

Name of School

City/State

Years Completed

Employment History

List last two jobs held, including current one

Name of Business:

Phone:

Supervisor:

Dates of employment:

Describe type of work you did:

Reason for leaving:

May we contact this employer? May we contact this employer? Yes No

Personal References:

Individuals who are not related to you and are not previous employers

Name | Address | Phone # | Relationship

Applicant Signature:

Date: