ASAS Hawaii - Employment Application

After-School All-Stars Hawaii Employment Application
As required by the Hawaii Department of Education for any afterschool providers, and in our continued effort to keep our employees, students and communities we serve safe, we will require employees to be fully vaccinated or provide proof of a negative COVID-19 test every week. Please select one of the following: *

I am currently fully vaccinated or have received at least one dose of the Covid-19 vaccination I am planning on receiving my first dose of the Covid-19 vaccine prior to my first day of work should I be offered a position I am willing to provide proof of a negative Covid-19 test weekly at my own expense
Applicant Information
Applicant Name *

First Name Last Name
Applicant Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Applicant Phone Number *
Please enter a valid phone number.
Applicant Email *
example@example.com
Position Applying For *
Date Available *

Month Day Year
Date
Are you a citizen of the United States? *

Yes No
If no, are you authorized to work in the US?

Yes No
Have you ever been convicted of a felony? *

Yes No
If yes, explain
Social Security Number (For background check)

After-School All-Stars Hawaii Employment Application