Paper

1508 Words May 23rd, 2013 7 Pages
Application for Employment
Complete by typing in the fields or by printing neatly. DO NOT LEAVE ANY BLANKS.

Applicant Information
Full Name: Date:

Last
Address:

First

Middle name Apartment/Unit # State Zip Code

Street Address City
Home Phone: Email Address: Do you have a valid Driver’s License Have you ever been employed by Marrakech? Have you ever completed an application with Marrakech before? Are you 18 and over? Did you attend Marrakech’s Academy for Human Service Training? I am looking for What is your availability?
YES YES YES YES YES NO NO NO NO NO

-

-

Cell Phone:

-

YES NO

Can we email you about your application status?

If yes, why did your employment end? If yes, month & year: If no, a work
…show more content…
YES NO

Degree:

City/State:
NO

Degree:
9/2012, rev. 10/2012

1

Name:

Date:

Previous Employment
1. Company: Address: Job Title: Responsibilities: From: To: Reason for Leaving: Ending Salary: $ Phone: Supervisor: Eligible for rehire?
YES NO STILL THERE

-

-

2. Company: Address: Job Title: Responsibilities: From: To: Reason for Leaving: Ending Salary: $

Phone: Supervisor: Eligible for rehire?

-

-

YES

NO

STILL THERE

3. Company: Address: Job Title: Responsibilities: From: To: Reason for Leaving: Ending Salary: $

Phone: Supervisor: Eligible for rehire?

-

-

YES

NO

STILL THERE

Experience
Describe any job related experience relevant to the position applied for:

Describe any Volunteer/Internship/Externship experience:

Describe any Management or Supervisory experience:

References
Please list professional references only. You may include Supervisors, Teachers, Clergy or other community members.
Do not include co-workers, friends, and relatives as we will not contact them to obtain a reference.

1. Full Name: Company: 2. Full Name: Company: 3. Full Name: Company:

Relationship: Phone: Relationship: Phone: Relationship: Phone: -

2

9/2012, rev. 10/2012

Name:

Date:

Pre-Screen Questions
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Can you bring in a copy of your HS Diploma/GED, transcripts or College Degree the first day of training? There are 5 ½ days of mandatory paid

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