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Rhode Island Alternative Academy (RIAA)
51 Draper Ave, Warwick, RI 02886 Ph: 401-783-7866 Fax: 401-633-7496
Application for Employment
Applicants at Rhode Island Alternative Academy (RIAA) are considered for all positions without regard to race, color, creed, religion, ancestry, age, sexual orientation, marital status, national origin, disability or handicap, or veteran status or any other category protected by applicable federal and state laws. Please answer all questions on the employment application accurately and completely regardless if you submit a resume. If you need assistance in completing the application, please contact one of the Staff members.
Name:
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First Name
Last Name
Date:
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Month
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Day
Year
Date
E-mail:
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example@example.com
Date of Birth
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Month
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Day
Year
Phone Number
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applying for Position:
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Pay Desired:
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When can you start?
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Full Time or Part Time
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Full Time
Part Time
Can you furnish proof that you are eligible to work in the United States on a full time basis?
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Yes
No
Are you fluent in any language other than English?
How did you become aware of this position?
Employee Referral
Internet
Agency
Job Fair
Walk In
Other
Upload Resume
Upload a File
Drag and drop files here
Choose a file
Education and Work History for at least 10 years must be included
Cancel
of
Highschool Attended:
Highschool Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Did you graduate?
Yes
No
Start Date:
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Month
-
Day
Year
Date
End Date:
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Month
-
Day
Year
Date
College Attended:
Name and Years
Did you graduate?
Yes
No
Start Date:
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Month
-
Day
Year
Date
End Date:
-
Month
-
Day
Year
Date
What degree did you earn or pursue?
What degree did you pursue or graduate for?
What level of degree did you earn?
Associates
Bachelor's
Masters
Doctorate
College Attended:
Name and Years
Did you graduate (enter year in other)?
Yes
No
Start Date:
-
Month
-
Day
Year
Date
End Date:
-
Month
-
Day
Year
Date
What degree did you earn or pursue?
What degree did you pursue or graduate for?
What level of degree did you earn?
Associates
Bachelor's
Masters
Doctorate
College Attended:
Name and Years
Did you graduate (enter year in other)?
Yes
No
Start Date:
-
Month
-
Day
Year
Date
End Date:
-
Month
-
Day
Year
Date
What degree did you earn or pursue?
What degree did you pursue or graduate for?
What level of degree did you earn?
Associates
Bachelor's
Masters
Doctorate
Professional License or Membership
Licenses Held:
State and License #:
License Expiration:
Other professional memberships?
(You need not disclose membership in professional organizations that may reveal information regarding race, color, creed, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.)
Work History
Record all work experience including jobs you held while attending school and/or during military duty. You may include volunteer work as well. Please list the most recent or current job first.
Are you currently employed?
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Yes
No
May we contact your current employer?
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Yes
No
Employer Name:
Employer Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Managers Name:
First Name
Last Name
Phone Number:
Job Title:
Status:
Part Time
Full Time
Volunteer
Start Date:
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Month
-
Day
Year
Date
End Date:
-
Month
-
Day
Year
Date
Last Salary/Hourly Rate:
Reason for leaving:
Explain why you're no longer employed
Job duties?
Employer Name:
Employer Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Managers Name:
First Name
Last Name
Phone Number:
Job Title:
Status:
Part Time
Full Time
Volunteer
Start Date:
-
Month
-
Day
Year
Date
End Date:
-
Month
-
Day
Year
Date
Last Salary/Hourly Rate:
Reason for leaving:
Explain why you're no longer employed
Job duties?
Employer Name:
Employer Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Managers Name:
First Name
Last Name
Phone Number:
Job Title:
Status:
Part Time
Full Time
Volunteer
Start Date:
-
Month
-
Day
Year
Date
End Date:
-
Month
-
Day
Year
Date
Last Salary/Hourly Rate:
Reason for leaving:
Explain why you're no longer employed
Job duties?
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Next
References
Please list 3 personal or professional references
Ref 1
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First Name
Last Name
Ref 1 Phone #:
*
Ref 1 (Company) Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Ref 2
*
First Name
Last Name
Ref 2 Phone #:
*
Ref 2 (Company) Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Ref 3
*
First Name
Last Name
Ref 3 Phone #:
*
Ref 3 (Company) Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Applications Certification and Agreement
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize RIAA to verify their accuracy and to obtain reference information on my work performance. I hereby release RIAA from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.
Signature
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Submit
Should be Empty: