Team Member Application

Team Member Application

It is the policy of Generations of Promise to comply with all applicable state and federal laws prohibiting discrimination in employment, volunteer placement, and internship opportunities based on race, age, color, sex, religion, national origin, disability, or any other protected classification. All individuals seeking to work, volunteer, or intern with our organization are asked to read and answer all questions in the application carefully.
Applicant Information
Classification
Position
Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Street Address and/or Mailing Address
City
State
Zip
Home Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cellular Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date you can start work

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Eligibility and Availability
Do you have a High School Diploma or GED?
Hours willing to work
Shifts willing to work
Willing to travel
Available for events
Employment Status
Authorized to work in the U.S. on an unrestricted basis
Ever been convicted of a felony
If yes, explain felony conviction
Have you been told the essential functions of the job or provided a job description
Can you perform the essential functions with or without reasonable accommodation
Education and Qualifications
Qualifications - School 1 Name
Qualifications - School 1 Degree
Qualifications - School 1 Address/City/State
Qualifications - School 2 Name
Qualifications - School 2 Degree
Qualifications - School 2 Address/City/State
Qualifications - Other School/Training Name
Qualifications - Other Degree/Certificate
Qualifications - Other Address/City/State
Special Skills
References
Reference 1 Name
Reference 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Reference 1 Relationship
Reference 2 Name
Email
example@example.com
Reference 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Relationship
Reference 3 Name
Reference 3 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Reference 3 Relationship
Work History 1
Job Title
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Company Name
Supervisor’s Name

First NameMiddle NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
City
State
Zip
Duties
Reason for Leaving
Starting Salary
Ending Salary
Work History 2
Work History 2 - Job Title
Work History 2 - Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Work History 2 - End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Work History 2 - Company Name
Work History 2 - Supervisor’s Name

First NameMiddle NameLast Name
Work History 2 - Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Work History 2 - City
Work History 2 - State
Work History 2 - Zip
Work History 2 - Duties
Work History 2 - Reason for Leaving
Work History 2 - Starting Salary
Work History 2 - Ending Salary
Additional Information and Signature
Additional Information
I certify that the facts outlined in this Team Member Application are true and complete to the best of my knowledge. I understand that if I am granted a position, false statements, omissions, or misrepresentations may result in my dismissal. I authorize Generations of Promise, Inc. to make an investigation of any of the facts outlined in this application and release Generations of Promise, Inc. from any liability. Generations of Promise, Inc. may contact any listed references on this application. I acknowledge and understand that Generations of Promise, Inc. is an “at-will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
Application Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Team Member Application

Applicant Information

Eligibility and Availability

Education and Qualifications

References

Work History 1

Work History 2

Additional Information and Signature