EMPLOYMENT APPLICATION PLEASE PRINT OR TYPE Today’s Date Name MI Last Name Preferred Name/Nickname Street Address Apt # City State Zip Code Home Alternate/Work Phone Email Address PLEASE A CHECK BY YOUR RESPONSE OR PROVIDE THE APPROPRIATE INFORMATION Full Time Part Time Temporary Are you interested in: What schedule would you prefer? Weekdays Weekends Evenings Nights Classified Ad How did you hear about the position? Friend (Name) Radio Internet Hourly Pay Annual Pay Desired Pay: $ $ $ (Minimum, if applicable) Minimum Desired Date: When are you able to start work? In what local area do you prefer to work? Position desired: PLEASE YES OR NO TO THE FOLLOWING: which you are applying with or without a reasonable accommodation? PLEASE LIST YOUR WORK EXPERIENCE BELOW (MOST RECENT JOB FIRST) COMPANY NAME YOUR POSITION and TITLE FROM NO. & STREET SUPERVISOR’S NAME, TITLE and POSITION CITY STATE ZIP CODE SUPERVISOR’S TELEPHONE NUMBER TYPE OF BUSINESS STARTING PAY FINAL PAY
EMPLOYMENT APPLICATION PLEASE PRINT OR TYPE Today’s Date Name MI Last Name Preferred Name/Nickname Street Address Apt # City State Zip Code Home Alternate/Work Phone Email Address PLEASE A CHECK BY YOUR RESPONSE OR PROVIDE THE APPROPRIATE INFORMATION Are you interested in: Full Time Part Time Temporary What schedule would you prefer? Weekdays Weekends Evenings Nights How did you hear about the position? Classified Ad Friend (Name) Radio Internet Desired Pay: Hourly Pay $ Annual Pay $ $ (Minimum, if applicable) Minimum Desired When are you able to start work? Date: In what local area do you prefer to work? Position desired: PLEASE YES OR NO TO THE FOLLOWING: which you are applying with or without a reasonable accommodation? PLEASE LIST YOUR WORK EXPERIENCE BELOW (MOST RECENT JOB FIRST) COMPANY NAME YOUR POSITION and TITLE FROM NO. & STREET SUPERVISOR’S NAME, TITLE and POSITION CITY STATE ZIP CODE SUPERVISOR’S TELEPHONE NUMBER TYPE OF BUSINESS STARTING PAY FINAL PAY