Highland Children's House
Please submit the Job Application form below to apply for a position at Highland Children's House.
Applicant Information
Name:
*
First Name
Middle Initial
Last Name
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail:
*
example@example.com
Phone Number:
*
Format: (000) 000-0000.
Earliest Possible Start Date:
*
-
Month
-
Day
Year
Position Applying for:
Location Applying for:
*
Monterey
Bath
Either
Desired Salary:
Are you a citizen of the United States?
*
Yes
No
If no, are you authorized to work in the US?
*
Yes
No
Have you ever worked for this company?
*
Yes
No
If yes, when?:
*
Have you ever been convicted of a felony?
*
Yes
No
If yes, explain:
*
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Education
List your High School, College, or Other Education below.
HIGH SCHOOL- Include below: 1) High School Name, 2) High School Address, 3) Dates Attended, 4) If you graduated, and 5) Type of Diploma:
COLLEGE- Include below: 1) College Name, 2) College Address, 3) Dates Attended, 4) If you graduated, and 5) Type of Diploma:
OTHER- Include below: 1) Other forms of Education, 2) Address, 3) Dates Attended, 4) If you graduated, and 5) Type of Degree/License:
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References
Please list 3 professional references.
Reference 1- Include below: 1) Full Name, 2) Relationship to Reference, 3) Company, 4) Phone Number, and 5) Address:
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Reference 2- Include below: 1) Full Name, 2) Relationship to Reference, 3) Company, 4) Phone Number, and 5) Address:
*
Reference 3- Include below: 1) Full Name, 2) Relationship to Reference, 3) Company, 4) Phone Number, and 5) Address:
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Previous Employment
List your previous employment below, starting with your current/most recent employment.
Employment 1- Include below: 1) Company Name, 2) Address, 3) Phone Number, and 4) Supervisor's Name:
Job Title and Responsibilities:
Start and End Date:
Starting and Ending Salary:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Employment 2- Include below: 1) Company Name, 2) Address, 3) Phone Number, and 4) Supervisor's Name:
Job Title and Responsibilities:
Start and End Date:
Starting and Ending Salary:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Employment 3- Include below: 1) Company Name, 2) Address, 3) Phone Number, and 4) Supervisor's Name:
Job Title and Responsibilities:
Start and End Date:
Starting and Ending Salary:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
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Military Service
If applicable, include your Military Service information below.
Include below- 1) Branch, 2) Dates Served, 3) Rank at Discharge, 4)Type of Discharge, and 5) If other than honorable, explain:
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Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Your Full Name:
Today's Date:
-
Month
-
Day
Year
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