Employment & Intern Registration Form 2026

Employment Application 2026

General Information
This application collects basic information to determine eligibility for employment opportunities within our organization. Submission of this application does not guarantee employment and does not create an employment contract. Additional documentation may be requested during the hiring process.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Birth

MonthDayYear
Date
Social Security Number - Last 4 Only
Emergency Contact

First NameLast Name
Relationship & Contact Referral
1. Adminstrative Support2. Client Services3. Community Outreach4 Financial Services / Tax SupportOther
3. Referral Source

How did you hear about this opportunity?
Agency ..

1. Workforce Solutions2. Goodwill3. Crisis National Network4. Court Referral5. Probation / Parole Officer6. Community Partner7. Social Media8. Website9. Family / Friend10. Returning Appliant11. Flyer Codeother ( please specify )
4. Education & Background

work experience or trades welcome
- Highest level of education completed
- Relevant training, certifications, or coursework
- Additional skills or experience
Explain education background, experience or trades
5. Employment History

For each pervious or current employer
Employer Name
Job Title
Employment Date
Duties
Reason for Leaving
Pay Rate
6. Position Interest

Which Department are you applying for ?
Are you open ?
7. Availability
Start Date

MonthDayYear
Date
Days Available

1. Monday2. Tuesday3. Wednesday4. Thursday5. Friday6. Saturday7. Sunday
Hours Available.
Employment Type

1. Seasonal2. Part-time3. Full- Time
Work Setting

1. Remote2. In- Office3. HybridOther
if other please specify below
8. Background Questions
1. “Have you ever been a salaried employee?”

1. Yes2. No
2.Have you ever worked in the financial industry? Name three of your duties.”

1. Yes2. No
Have you ever been terminated from a job ?

1. Yes2. Noother
Supervision & Support
What type of supervison or support heps you perform at your best ?
Please describe any support that helps you suceed ..
Stability & Readness
Do you have any barriers that may affect your ability to maintain consistent employment (transportation, housing, scheduling, mobility, or other challenges)?

1. YesOther
Explain
Are you willing to undergo a background check it required ?

1. Yes2. No
Educational Background (e.g., university, degree, major)*
Availability Start Date*

MonthDayYear
Date
Background & Security
“Are you willing to undergo a background check if required for the position?”

1. Yes2. No3. Other ?
If there is anything in your background you would like us to be aware of, you may share it here.”

1. Yes2. No3. Explain
Explain
Have you ever been a salaried employee ?
Additional Comments or Questions
Section 1: Equipment & Workspace
Software used
3. Employment Type (Seasonal / Part‑time / Full‑time)
Single Choice

1. Seasonal2. Part- time3. Full- time
1. Remote2. In- office3. Hybrid
Equipment & Workspace
" Do you have a private workspace for client confidentiality ? "

1. Yes2. No
" Do you have a working laptop ? "

1. Yes2. No
" Do you have reliable Internet ? "

1. Yes2. No
Training Requirements
" Are you willing to follow the office workflow and procedures ? "

1. Yes2. No
" Are you willing to complete daily check- ins during tax season ? "

1. Yes2. No
Signature & Agreement
Signature

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Date

MonthDayYear
Date
Should be Empty:

Employment Application 2026

3. Referral Source

4. Education & Background

5. Employment History

6. Position Interest

7. Availability

8. Background Questions

Supervision & Support

Stability & Readness

Background & Security

Section 1: Equipment & Workspace

3. Employment Type (Seasonal / Part‑time / Full‑time)

Equipment & Workspace

Training Requirements

Signature & Agreement