Full Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you over the age of 18?
Yes
No
Nutrition Club Applying For?
Compensation Desired?
Education
Please fill out to current education level achieved/ in progress
High School
Years Completed/Current Grade
College/Trade School
Years Completed/In Progress
References
Please include two nonfamily member references.
Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship
Years Known
Reference #2 Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship
Years Known
Employment History
Please include most recent employment history
Company
Immediate Supervisor
Job Title
Dates: (From (mm/yy) to (mm/yy))
Reason for Leaving
Company
Immediate Supervisor
Job Title
Dates: (From (mm/yy) to (mm/yy))
Reason for Leaving
Availability
Please Include all availability & if it will change at any point.
Do you have transportation to/from work?
Yes
No
Date Available to Start
Are you looking for under 20 hours/over 20 hours?
Availability + Times Available (Please select all dates & times available)
Monday (6:30 - 12)
Monday (12 - 6)
Tuesday (6:30 - 12)
Tuesday (12 - 6)
Wednesday (6:30 - 12)
Wednesday (12 - 6)
Thursday (6:30 - 12)
Thursday (12 - 6)
Friday (6:30 - 12)
Friday (12 - 6)
Saturday (9-3)
Sunday (9-2)
Do you have any special hour requirements within those shifts (i.e. can work Tuesdays until 3)
Does your availability change with any sports or between the school year & summer (Please Explain):
Submit
Should be Empty: