SOMO Employment Application

Employment Application

Special Olympics Missouri is an equal opportunity employer. Applicants will be considered regardless of race, color, national origin, religion, gender, age, marital, or veteran status; medical condition, disability; or any other legally protected status. Equal access to the hiring process, services, and employment is available to all individuals. Applicants requiring accommodations to the application and/or interview process should contact our Vice President of Operations, Mary Lou Hammann, at hammann@somo.org.

Each question should be answered completely and accurately.

No action will be taken on this application until all questions have been answered and the application has been signed and dated. Verification of eligibility to work in the U.S. will be required if an employment offer is made.
Name *

First Name Last Name
E-mail *

Confirmation Email
Cell Phone Number *
Address *

Street Address

Street Address Line 2

City State

Zip Code
Position(s) applying for *
Referral source
Date available for work *

Month Day Year
Are you currently employed? *

YES NO
May we contact current employer? *

YES NO
Have you applied here before? *

YES NO
If yes, give date or approx. date:

Month Day Year
Have you been convicted of a felony/misdemeanor (other than traffic violations)? *

YES NO
If so, provide the location, date and result/outcome for each conviction: *

Please complete the appropriate sections

Name & Location of School

Graduation Year

Degree or Certification

GED / High School

Trade School

College

Graduate

WORK HISTORY

Please list your four most recent employers, listing the most recent one first.
1. Employer
Employer's Name (Most current) *
Address & location of business *
Your title *
Work performed: *
Supervisor's name *
First and Last Name
Phone number *
Start date *

Month Day Year
End date (leave blank if current)

Month Day Year
Latest Wages: *
Salary or Hourly *
Reason for leaving

2. Employer
Second most recent employer

Responses below I am intentionally leaving this section blank because it does not apply to me.
Employer's Name (Second most recent)
Address & location of business
Your title
Work performed:
Supervisor's name
First and Last Name
Phone number
Start date

Month Day Year
End date

Month Day Year
Latest Wages:
Salary or Hourly
Reason for leaving

3. Employer
Third most recent employer

Responses below I am intentionally leaving this section blank because it does not apply to me.
Employer's Name (Third most recent)
Address & location of business
Your title
Work performed:
Supervisor's name
First and Last Name
Phone number
Start date

Month Day Year
End date

Month Day Year
Latest Wages:
Salary or Hourly
Reason for leaving

ADDITIONAL INFORMATION
Do you have a U.S. military service record? *

YES NO
If yes, branch of service *
Discharge date and rank *
List job-related accomplishments, projects, and awards. (Exclude information that would reveal race, color, national origin, religion, gender, age, marital, or veteran status; medical condition, disability; or any other legally protected status.)
List any additional information you would like us to consider:

REFERENCES

List three professional references, (business or work, not relatives). List at least one previous supervisor.
1. Full Name *

First Name Last Name
Company *
Best phone number to reach them *
Relationship *
2. Full Name *

First Name Last Name
Company *
Best phone number to reach them *
Relationship *
3. Full Name *

First Name Last Name
Company *
Best phone number to reach them *
Relationship *

If a finalist for this position, I understand my previous employers will be contacted and background screening will be conducted. I certify that the information in this application is accurate and complete. I understand misrepresentation or omission of information is cause for rejection of my application or subsequent dismissal from employment. *

I agree I do not agree
Signature *

Clear
Today's Date (read-only field) *

Month Day Year
Upload your resume, click Choose File *
Upload your cover letter. Your letter should, at a minimum, answer these questions:

1. Why are you seeking this position?

2. What are your personal qualifications and experiences that would make you qualified for this position & that would be beneficial to Special Olympics Missouri?
Upload a cover letter, click Choose File *
Upon submitting the form, your application and all attachments will be submitted to our Vice President of Operations. You will also receive a copy of your submission at the email you indicated on the first page of the application.
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