Workforce Readiness and Professional Success (WRAPS) Job Application
Apply for the Project Healthy Kids Workforce Readiness and Professional Success Trainee Program. Please complete all required sections.
Please upload your resume here:
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Candidate's Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
City, State, ZIP
*
Telephone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email address
*
example@example.com
Are you authorized to work in the U.S.?
*
Yes
No
Are you at least 18 years of age?
*
Yes
No
Are you able to work Monday – Friday, 7am - 3pm?
*
Yes
No
How did you learn about this opening?
If an employee referred you, indicate their name
High School - Graduated
Yes
No
High School - GED
Yes
No
College/University Name
College/University - Graduated
Yes
No
College/University - Course of Study
Other education, certification, training or special skills
Are you experienced in using personal computers?
PC
Mac
Other skills we should be aware of
Employer 1 - Name
Employer 1 - City, State
Employer 1 - Dates of employment
Employer 1 - Position Held
Employer 1 - Supervisor's Name & Title
Employer 1 - Reason for Leaving
Employer 1 - Description of Duties
Employer 1 - May we contact?
Yes
No
Employer 1 - Hourly wage
Employer 2 - Name
Employer 2 - City, State
Employer 2 - Dates of employment
Employer 2 - Position Held
Employer 2 - Supervisor's Name & Title
Employer 2 - Reason for Leaving
Employer 2 - Description of Duties
Employer 2 - May we contact?
Yes
No
Employer 2 - Hourly wage
Employer 3 - Name
Employer 3 - City, State
Employer 3 - Dates of employment
Employer 3 - Position Held
Employer 3 - Supervisor's Name & Title
Employer 3 - Reason for Leaving
Employer 3 - Description of Duties
Employer 3 - May we contact?
Yes
No
Employer 3 - Hourly wage
Authorization and Acknowledgements - Agreement
*
I have read and agree to the Authorization and Acknowledgements above.
Candidate's Signature
*
Signature Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Application
Submit Application
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