CASC Employment Application

Central Area Senior Center

Employment Application
(Click for Full Description)

Receptionist (Temporary)

Data Entry Operator (Temporary)
First & Middle*
Last*
Date*

MonthDayYear
Date
Position Applied For*
Phone*
Email*
example@example.com
Desired Salary:$*
Are you a citizen of the United States?*

YESNO
If no, are you authorized to work in the U.S.?

YESNO
Have you ever worked for this company?*

YESNO
If yes, when?
Have you ever been convicted of a felony?*

YESNO
If yes, explain.
Date Available*

MonthDayYear
Date
Upload Cover Letter describing how your experience, skills, and values fit with the Central Area Senior Center.

Resume000
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Upload Resume

Resume
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DISCLAIMER AND SIGNATURE
I have read my job description and agree to the assignments as described herein. I can perform the job requirements

with a reasonable accommodation.without a reasonable accommodation.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.
Signature*

Clear
Date*

MonthDayYear
Date
QUESTIONS? Email twanda@twandahill.com

Central Area Senior Center - 500 30th Avenue S. I Seattle, WA 98144
Should be Empty:

Central Area Senior Center