Teen Upward Bound: Application for Employment

Application for Employment
13250 NW 28th Ave.

Opa-Locka, FL 33054

Main Office : (305) 953-3397 Website: www.teenupwardbound.com
INSTRUCTIONS: PLEASE COMPLETE IN FULL. ENSURE THAT YOU HAVE READ AND SIGNED THE DECLARATION FOR EMPLOYMENT ON THE LAST PAGE.
Position Applying For:
Job Title
D.O.B.
Last 4 SSN
PERSONAL DATA
Name

First NameMiddle NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email address
example@example.com
Telephone Home
Format: (000) 000-0000.
Cellphone
Format: (000) 000-0000.
Fax
Are you legally entitled to work in the United States?
As an adult, have you ever been convicted of an offence other than a traffic violation?
Are you able to work shifts (non-standard hours) if required?
Do you have any relatives working at Teen Up-Ward Bound, Inc?
Name(s)
Have you ever been employed by Teen Up-Ward Bound, Inc?
Dates of Employment
Position/Department
EDUCATION AND TRAINING

EDUCATION AND TRAINING

Rows	Name & location of institution	Number of years completed	Field of Study	Grade/Diploma/Degree and year completed
High School/GED
Commercial, Trade or Technical Training
Undergraduate College/University
Graduate/Professional
Other Continuing Education

Professional Qualifications/ Memberships/Licenses if applicable
SPECIALIZED SKILLS
A. SECRETARIAL/CLERICALSKILLS:
Other
Keyboarding nwpm (if applicable)
Special Terminology (if applicable)
B. COMPUTER SKILLS:
Please specify computer systems you have worked with. courses you have taken and your working knowledge of computer software
C. TECHNICAL SKILLS
D. CHILD CARE SKILLS OR CERTIFICATIONS
E.LANGUAGE SKILLS:
Spoken
Written
F. If you are applying for a position requiring a driver's license, please complete the following:
Do you have a valid driver's license?
Class
State
PREVIOUS EMPLOYMENT

(begin with most recent)
Name of Employer
Address
Last Position Held
Name of Supervisor
Phone
Format: (000) 000-0000.
Reason for Leaving
Period Employed:
Final Salary
Duties
Name of Employer
Address
Last Position Held
Name of Supervisor
Phone
Format: (000) 000-0000.
Reason for Leaving
Period Employed:
Final Salary
Duties
Name of Employer
Address
Last Position Held
Phone
Format: (000) 000-0000.
Name of Supervisor
Reason for Leaving
Period Employed
Final Salary
Duties
REFERENCES

List three persons, other than relatives or personal friends, who can judge your work ability.

Application for Employment