Employment Application

Employment Application
I am primarily interested in a * position.

If all those positions are filled I would also like to be considered for* .
Resume

*Submitting a Resume Greatly Improves Consideration of Your Application*
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Copy of Certification

*REQUIRED*
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Portfolio Photo Upload Available

*NOT REQUIRED*
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Name*

First NameLast Name
Permanent Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Date of Birth*

MonthDayYear
MUST BE 16 OR OLDER TO APPLY MUST BE 21 OR OLDER TO WORK BAR
YesNo
YesNo
YesNo
YesNo

Education
YesNo
School Attended
HS FreshmanHS SophomoreHS JuniorHS SeniorGEDSome CollegeCollege Graduate
List any Conflicts or Prior Commitments and their Dates Below:*
(Ex. Vacations, Band, Sports, Camps, etc.) *MUST INCLUDE SCHOOL END AND START DATE IF APPLICABLE*

Previous Employment
YesNo
If yes, please specify which department.
Current or most recent employer
Job Title & Responsibilities
Employer's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
Should be Empty:

Education