MEO APPLICATION FOR EMPLOYMENT

MEO APPLICATION FOR EMPLOYMENT
Thank you for your interest in Maui Economic Opportunity, Inc. You must properly complete ALL portions of this employment application to be considered for employment at our agency. If you require accommodation during the employment application process, including assistance in the completion of this application, please let us know. MEO is an equal opportunity employer, we do not discriminate on the basis of age, sex, race, religion, color, national origin, ancestry, marital status disability, arrest and court record, sexual orientation, military service or other protected categories in accordance with state and federal laws. This employment application is valid for a one-month period after submission to the agency and only for the position applied.
GENERAL INFORMATION:
Job/Position you are applying for:*
Name*

First NameLast Name
EEO Category
Gender
EEO Identification
Veterans Self-ID Y = Veteran, N = Non-Veteran
Disability Self-ID Y = Disabled, N = No, D = Declined to answer
Interviewed Date of (Interview) N = No, D = Declined, NS = No Show, NA = Not Available
Y/N = Internal Applicant, I = Internet Applicant, JF = Job Fair
Hired Y/N/D
Date Position Filled
Applicant Selected
Referral Source
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email*
example@example.com
PREVIOUS EMPLOYMENT:

Starting with most recent (if applicable), list all employers for the last ten years and account for any periods you were NOT working. Please note name worked under if different from current name. Type N/A in the Company Name field if not applicable.
PREVIOUS EMPLOYMENT:

Starting with most recent (if applicable), list all employers for the last 10 years and account for any periods you were not working. Please note name worked under if different from current name. Type N/A in the Company Name field if not applicable.
Do you have previous employment to list?*

YesNo
EMPLOYER 1:
Company Name*
Company Phone Number*
Mailing address:*
Immediate Supervisor:*
Position and Duties:*
From: To:*
Ex. 04/2018-01/2020
Reason for leaving:*
Do you have additional previous employment to list?*

YesNo
EMPLOYER 2:
Company Name*
Type NA if not applicable
Company Phone Number*
Mailing address:*
Immediate Supervisor:*
Position and Duties:*
From: To:*
Ex. 04/2018-01/2020
Reason for leaving:*
Do you have additional previous employment to list?*

YesNo
EMPLOYER 3:
Company Name*
Type NA if not applicable
Company Phone Number*

Country CodeArea CodePhone Number
Mailing address:*
Immediate Supervisor:*
Position and Duties:*
From: To:*
Ex. 04/2018-01/2020
Reason for leaving:*
Do you have additional previous employment to list?*

YesNo
EMPLOYER 4:
Company Name*
Type NA if not applicable
Company Phone Number*
Mailing address:*
Immediate Supervisor:*
Position and Duties:*
From: To:*
Ex. 04/2018-01/2020
Reason for leaving:*
Do you have additional previous employment to list?*

YesNo
EMPLOYER 5:
Company Name*
Type NA if not applicable
Company Phone Number*
Mailing Address:*
Immediate Supervisor:*
Position and Duties:*
From: To:*
(Ex. 04/2018-01/2020)
Reason for Leaving:*
Do you have additional previous employment to list?*

YesNo
EMPLOYER 6:
Company Name*
Type NA if not applicable
Company Phone Number*
Mailing Address:*
Immediate Supervisor:*
Position and Duties:*
From: To:*
(Ex. 04/2018-01/2020)
Reason for Leaving:*
Do you have additional previous employment to list?*

YesNo
EMPLOYER 7:
Company Name*
Type NA if not applicable
Company Phone Number*
Mailing Address:*
Immediate Supervisor:*
Position and Duties:*
From: To:*
(Ex. 04/2018-01/2020)
Reason for Leaving:*
Do you have additional previous employment to list?*

YesNo
EMPLOYER 8:
Company Name*
Type NA if not applicable
Company Phone Number*
Mailing Address:*
Immediate Supervisor:*
Position and Duties:*
From: To:*
(Ex. 04/2018-01/2020)
Reason for Leaving:*
Do you have additional previous employment to list?*

YesNo
EMPLOYER 9:
Company Name*
Company Phone Number*
Mailing Address:*
Immediate Supervisor:*
Position and Duties:*
From: To:*
(Ex. 04/2018-01/2020)
Reason for Leaving:*
Do you have additional previous employment to list?*

YesNo
EMPLOYER 10:
Company Name*
Type NA if not applicable
Company Phone Number*
Mailing Address:*
Immediate Supervisor:*
Position and Duties:*
From: To:*
(Ex. 04/2018-01/2020)
Reason for Leaving:*
REFERENCES:

(Not Relatives)
REFERENCE 1:
Name*
Association*
Occupation:*
Address:*
Phone:*
REFERENCE 2:
Name*
Association*
Occupation:*
Address:*
Phone:*
EDUCATION:
High School:
School Name:*
Address:*
Number of years attended:*
College:
Have you attended college?*

YesNo
School Name:*
Address:*
Number of years attended:*
Degrees:*
Do you have more college attendance to add?*

YesNo
School Name:*
Address:*
Number of years attended:*
Degrees:*
Do you have more college attendance to add?*

YesNo
School Name:*
Address:*
Number of years attended:*
Degrees:*
Do you have more college attendance to add?*

YesNo
School Name:*
Address:*
Number of years attended:*
Degrees:*
OTHER:
Do you know anyone working for our agency?*

YesNo
If so, who?*
Relationship*
Have you previously worked for our agency?*

YesNo
If so, when?*
Reason for leaving*
It is our policy to hire only U.S. Citizens and aliens who are authorized to work in this country. (As a condition of employment, you will be required to produce original documents establishing your identity and authorization to work, and to complete the U.S. Immigration and Naturalization Services’ Form I-9.)
PLEASE READ CAREFULLY BEFORE AGREEING AND SIGNING
Would you like to upload a resume or other document?*

YesNo
You may upload your resume or other documents by using the button below.
Upload resume or additional information here:

Browse Files

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Authorization / Signature of Applicant:*

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MEO APPLICATION FOR EMPLOYMENT

GENERAL INFORMATION:

PREVIOUS EMPLOYMENT:

REFERENCES:

EDUCATION:

OTHER: