Employment App

Boys & Girls Clubs of Abilene, Inc. Application for Employment

Please read carefully and answer all questions. Applicants will not be considered for employment unless all questions are filled out completely. A resume may be attached but is not required.
Club Branch you're applying for: *

Clyde Highland T.J. Jones Martinez Wylie Summer Club Any Other
Position: *
Personal Information
Name *

First Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
High School Diploma or GED *

Yes No
Position Information

Hours of operation for the Afterschool program range from 2:30PM - 7:00PM. Hours for the Summer program range from 7:00AM - 5:30PM
Date you can start work *

Month Day Year
Date
Desired salary (per hour) *
Days of the week available to work: *

Monday Tuesday Wednesday Thursday Friday
Are you currently a college student? *

Yes No
Are you eligible for Work Study?

Yes No Not sure
What university do you attend?

ACU HSU McM
Please upload a photo of your Federal Work Study eligibility form:

Cancel of
Have you ever been convicted of a crime other than a minor traffic violation? *

Yes No
Please explain:
Qualifications

Please list any education or training you feel related to the position you are applying for that would help you perform the work, for example: schools, degrees, vocational or technical programs, military training, etc. *

	School Name/City/State	From Mo/Year	To Mo/Year	Degree Received	Areas of Specialization
High School / GED
College
Vocational/Technical
Other

Please list any special skills or experiences you feel would help you in the position you are applying for: *
References

Please list three professional and/or personal references not related to you. *

	Name	Address/City/State	Phone	Relationship
Reference 1
Reference 2
Reference 3

Work History

Start with your most recent employment and work back. You may provide up to three previous employers. If you wish to include more, please attach a resume.

Type a question *

	Most Recent	Job #2	Job #3
Job Title
Start Date
End Date
Company Name
Company Address
Supervisor
Phone Number
Start Salary
End Salary
Duties
Reason for leaving
May we contact

Have you previously worked for a Boys & Girls Club? *

Yes No

I declare that all of the foregoing statements are true and correct to the best of my knowledge. I authorize the Boys & Girls Clubs of Abilene, Inc. to conduct a background check, including criminal history and driving record, and to contact my present and past employers, schools and references to determine my suitability for employment. I hereby release the Boys & Girls Clubs of Abilene, Inc. from all liabilities resulting from these inquiries. *

Applicant Signature Clear
Month Day Year
Date

Boys & Girls Clubs of Abilene, Inc. Application for Employment

Personal Information

Position Information

Qualifications

References

Work History