OCAP APPLICATION FOR EMPLOYMENT

OCAP APPLICATION FOR EMPLOYMENT
JOB LOCATION:*
POSITION:*
PERSONAL INFORMATION:
DATE:
NAME:*

First NameLast Name
EMAIL ADDRESS:
example@example.com
PERMANENT ADDRESS:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE NUMBER*
Please enter a valid phone number.
ARE YOU AVAILABLE FOR WORK?*

FULL TIMEPART TIMETEMPORARY
PLEASE INDICATE DATES AVAILABLE:*

MonthDayYear
Date
HAVE YOU EVER WORKED WITH US BEFORE?

YesNo
IF YES, GIVE DATE

MonthDayYear
Date
ARE YOU CURRENTLY EMPLOYED?

YesNo
MAY WE CONTACT YOUR EMPLOYER?

YesNo
Are you prevented from lawfully becoming employed in this country because of Visa or immigration status?

YesNo
CAN YOU TRAVEL IS A JOB REQUIRES IT?

YesNo
Please list any relatives that work with OCAP/Head Start and their relationship to you.
EDUCATION
GRAMMAR SCHOOL - NAME OF SCHOOL | YEARS ATTENDED | DATE GRADUATED | MAJOR | DEGREE
HIGH SCHOOL - NAME OF SCHOOL | YEARS ATTENDED | DATE GRADUATED | MAJOR | DEGREE
UNDERGRADUATE COLLEGE - NAME OF SCHOOL | YEARS ATTENDED | DATE GRADUATED | MAJOR | DEGREE
GRADUATE/PROFESSIONAL - NAME OF SCHOOL | YEARS ATTENDED | DATE GRADUATED | MAJOR | DEGREE
OTHER (SPECIFY)
What foreign languages do you speak fluently? Read? Write?
WORK EXPERIENCE

FORMER EMPLOYERS - List below last four employers, starting with the last one first.
From

MonthDayYear
Date
To

MonthDayYear
Date
Name and Address of most recent Employer - Position and Reason for Leaving
From

MonthDayYear
Date
To

MonthDayYear
Date
Name and Address of Former Employer, Position and Reason for Leaving
From

MonthDayYear
Date
To

MonthDayYear
Date
Name and Address of Former Employer, Position and Reason for Leaving
REFERENCES

Give the names of three persons, not related to you, whom you have known for at lease one year.
Name, Address, Business and Years Acquainted*
IN CASE OF EMERGENCY

Notify
Name, Address and Phone Number*
BY SIGNING BELOW, I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMMISSION OF THE FACTS CALLED FOR IS CAUSE FOR DISMISSAL FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT PREVIOUS NOTICE.
Date*
Signature*

Clear
OCAP considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

OCAP IS AN EQUAL OPPORTUNITY EMPLOYER
Please verify that you are human*
Should be Empty:

OCAP APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION:

EDUCATION

WORK EXPERIENCE

REFERENCES

IN CASE OF EMERGENCY