Summer Online Employment Form

Summer Employment Application
Name*

First NameLast Name
Email Address*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Date of Birth*
Are you a citizen of the United States?*

YesNo
If no, are you authorized to work in the United States?

YesNo
Applying for the position of? *
Have you ever worked for the Pittsburgh Project?*

YesNo
If yes, what was your previous position at the Pittsburgh Project
T-shirt Size*
ie....Adult small, medium, Large
Do you have a valid driver's license?*

YesNo
Will you be able to work from June 8th - August 1st?

YesNoOther
If you answered no or other please explain in detail.
Have you ever been convicted of a felony?*

YesNo
If yes, please describe
Education
High school attended*
Did you graduate?*

YesNo
Date of graduation (if applicable)

MonthDayYear
Date
College attended (if applicable)
Major of study (if applicable)
Did you graduate?

YesNo
Date of graduation (if applicable)

MonthDayYear
Date
Other education (if applicable)
Date of graduation (if applicable)

MonthDayYear
Date
Previous Employment
Previous Employer #1
Company Name
Phone
Job Title
Supervisor
Description
Start Date

MonthDayYear
Date
End date

MonthDayYear
Date
Reason for leaving (if applicable)
Previous Employer #2
Company Name
Phone
Job Title
Supervisor
Description
Start Date

MonthDayYear
Date
End date

MonthDayYear
Date
Reason for leaving (if applicable)
Previous Employer #3
Company Name
Phone
Job Title
Supervisor
Description
Start Date

MonthDayYear
Date
End date

MonthDayYear
Date
Reason for leaving (if applicable)
References
Reference #1
Name*

First NameLast Name
Relationship*
Company*
Phone*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference #2
Name

First NameLast Name
Relationship
Company
Phone
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference #3
Name

First NameLast Name
Relationship
Company
Phone
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal essays
What compels you to apply for a position with The Pittsburgh Project and what experiences have prepared you for this position?*
Describe your faith journey and your relationship with God.*
What's one Bible passage that is significant to you and why?*
Tell us about your experience building authentic relationships with other racial or ethnic groups. *
Please describe your experiences working with youth. *
Electronic 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 from employment.*

Clear
Should be Empty:

Summer Employment Application

Education

Previous Employment

References

Personal essays

Electronic Signature