Application for Employment Please fill out ALL information on the enclosed form. Incomplete applications will not be considered. Position Applying For: Type of Employment you are Seeking: Controller Full-time Part time Temporary Today’s Date: Name: (Last, Middle) Mailing Address: (Street) (Apt. No.) (City) (State) (Zip Code) Phone: Email: Do you have the legal right to work in Are you at least 18 years of Do you have any relatives employed by the United States? age? or on the board of the R5DC? Yes No Yes No Yes No ________________ (Final confirmation of employment with R5DC is If yes, whom? contingent upon timely completion of an Employment Eligibility Verification Form (Form I-9) Have you ever been dismissed or How did you learn about this job Do you have a valid driver’s license? Yes No forced to resign a position? for which you are applying? Yes No State___ License #:________________ Have you ever been previously employed by the UMVRDC? Available Start Date: Yes No If yes, date of hire/title: Education Background: Less than high school 2 year college HS Grad Technical school Indicate all levels of education you have completed. Some college Bachelor’s Degree Some graduate school Master’s Degree PhD List relevant post-secondary education, registrations, licenses or certifications: Work Experience: Starting with your present or most recent employer: List ALL prior work history including internships and jobs unrelated to this position Provide explanation for any gaps in employment. Current or last employer name Address, City, State
Application for Employment Please fill out ALL information on the enclosed form. Incomplete applications will not be considered. Position Applying For: Controller Type of Employment you are Seeking: Full-time Part time Temporary Today’s Date: Name: (Last, Middle) Mailing Address: (Street) (Apt. No.) (City) (State) (Zip Code) Phone: Email: Do you have the legal right to work in the United States? Yes No (Final confirmation of employment with R5DC is contingent upon timely completion of an Employment Eligibility Verification Form (Form I-9) Are you at least 18 years of age? Yes No Do you have any relatives employed by or on the board of the R5DC? Yes No If yes, whom? ________________ Have you ever been dismissed or forced to resign a position? Yes No How did you learn about this job for which you are applying? Do you have a valid driver’s license? Yes No State___ License #:________________ Have you ever been previously employed by the UMVRDC? Yes No If yes, date of hire/title: Available Start Date: Education Background: Less than high school 2 year college Indicate all levels of education you have completed. HS Grad Technical school Some college Bachelor’s Degree Some graduate school Master’s Degree PhD List relevant post-secondary education, registrations, licenses or certifications: Work Experience: Starting with your present or most recent employer: List ALL prior work history including internships and jobs unrelated to this position Provide explanation for any gaps in employment. Current or last employer name Address, City, State