Apply for a Job
Personal Information
First Name:
Last Name:
Street:
Street (cont):
City:
State:
Zip:
Phone (day):
Phone (eve):
Email:
Job Description
Check the one(s) you are interested in:
Job Type:
Administrative Manufacturing Other
If you checked "Other," please indicate what job type:
What is your desired work schedule?
Desired Work Schedule:
Full Time Part Time
Seasonal Temporary Intern
Desired Shifts:
First Shift (day) Second Shift (afternoon) Third Shift (night)
After school Rotating Weekends
Desired Wage:
$ Per Hour (for example: 8 or 8.50 or 12.50)
or Salary:
(for example: $30,000/yr)
How many miles are you willing to commute? 1 mile 5 miles 10 miles 20 miles 50 miles
Work Experience
Describe your work experience by answering the following questions.
What positions have you held and for how long? The more detailed your answers are, the more complete your resume will appear to potential employers.
Please indicate the number of jobs you have held in the last 3 years.
Are you currently employed?
Yes No
What is/was your most recent job title?
How long were you employed at your last job?
yrs
mos.
What is your most current wage?
Have you managed others?
If so, how many worked under you?
What is the highest level of education you have completed?
Do you speak fluent English?
Please list any certifications and/or accreditations:
Optional: Include Your Resume (cut and paste). Alternately, you may email your resume as an attachment.
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