Employment Application - Houghton-Jones Neighborhood Association

Select the position you're applying for:Adult Summer WorkerAdult After School Program WorkerYouth Learn and Earn Summer WorkerYouth After School Program worker

First Name *

Last Name *

Date of Birth *

Email Address *

Phone *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Messaging Consent *If you supplied a mobile number, would you like to receive text messages for updates, or meeting reminders?

How did you hear about this position? *

What hours/shifts are you available to work? *3:30PM - 6:00PM - After School Program10:00AM - 2:00PM - Summer Enrichment ProgramHours subject to change depending on the program hired for.

If needed, are you available to work overtime? *YESNO

What date can you start if hired? *

Do you have reliable transportation to and from work? *YesNo

Personal Information

Do you have any friends, relatives, or acquaintances working for Houghton Jones Neighborhood Asociation? *YESNO

If YES, state name & relationship:

Are you 18 years of age or older? *YESNO

Are you a U.S. citizen or approved to work in the United States? *YESNO

What documentation can you provide as proof of citizenship or legal status? *

Do you have any condition which would require job accommodations? *YESNO

If YES, Please describe accommodations required.

Have you ever been convicted of a criminal offense (felony or misdemeanor)?YESNO

If YES, please state the nature of the crime(s), when and where convicted and disposition of the case:

Job Skills/Qualifications:

Please list the skills and qualifications you possess for the position for which you are applying: *

Education and Training

High School AttendedProvide Location, year graduated, degree earned

College/University Attended:Provide location, year graduated, degree earned:

Vocational School/Specialized Training:Provide location, year graduated, degree earned:

Military:

Are you a member of the Armed Services? *YESNO

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Previous Employment

Employer Name

Employer Telephone:

Street Address

City

State/Province

ZIP / Postal Code

Job Title:

Supervisor Name:

Dates of Employment:

Reason for Leaving:

References:Provide 3 professional references below:

Name *

Phone *

Email Address

Upload file

No file chosen

Attach Resume if applicable

Save as Draft