WR Arts Teen Intern Application as of 2/2022

Full Name*

First NameMiddle InitialLast Name

Pronouns

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Phone Number*

Area CodePhone Number

How old are you?*

Applicants cannot be younger than 14 years of age

Date of Birth

Are you currently fully vaccinated against COVID-19?*

Do you have your New York State Working Papers? (Student Non-Factory, General, or Full Time Employment Certificate)*

YesNoNot yet but working on it

Are you authorized to work and remain in the United States?*

YesNo

Do you now or will you require sponsorship for employment visa status (eg. H-1B Visa, 0-1 Visa, etc.)*

YesNoNot Applicable

Have you ever been convicted of any violation of the law? (Exclude traffic violations) A conviction will not necessarily disqualify an applicant from the position sought.

YesNo

If Yes, Explain:

Are there any reasons for which you might not be able to perform the job duties, with reasonable accomodation?

YesNo

If Yes, Explain:

Weekday availability between 2PM - 6PM is a plus. What is the earliest you can arrive to the Greenpoint/ Williamsburg area during the week?

Upload Letter of Introduction/ File

Upload a File

Reference #1: Name*

#1 Phone Number*

Area CodePhone Number

#1 E-mail*

example@example.com

Relationship & years acquainted

Reference #2: Name

#2 Phone Number

Area CodePhone Number

#2 E-mail

example@example.com

Relationship & years acquainted

APPLICANT’S STATEMENT AND AUTHORITY TO RELEASE INFORMATION (Required for ALL Positions)

The information provided in this document is true, correct and complete. I understand that if my application is accepted any misstatements or omissions of fact may result in my dismissal. I authorize WR Arts Inc. to make an investigation of any of the facts set forth in this application and I release WR Arts Inc. from any liability. WR Arts Inc. may contact any listed references on this application.

I understand WR Arts Inc. may decide to engage an investigative consumer-reporting agency to report on my credit and personal history; I authorize WR Arts Inc. to do so. If a report is obtained WR Arts Inc. must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.

This information is to be used to assist WR Arts Inc. in determining my qualifications and fitness for the position I am seeking. I hereby release WR Arts Inc. and its officers, agents and employees from any liability for the use of any and all of the foregoing information, in consideration for being reviewed for the aforesaid position. Should there be any questions regarding the validity of this release, you may contact me as indicated below.

Full Name*

First NameMiddle InitialLast Name

Signature*

Date

MonthDayYear

WR Arts Teen Intern & Assistant Application

Letter of introduction

Personal/ Work References