Application for Employment

Please complete all fields completely and accurately.
Incomplete applications will not be considered.

Name * First Last

Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone

Are you eligible to work in the United States? *

YesNo

If you are under age 18 , do you have an employment/age certificate?

YesNoN/A

Have you been convicted of or pleaded no contest to a felon y within the last five years? *

YesNo

If "YES, " please attach supporting documentation.

Position Information/Availability

Position you are applying for?

Type

Part-TimeFull-Time

Please type the Days/Hours you are available to work:

Education

High School

City , State

Degree

Graduation Date

College

City, State

Degree

Graduation Date

College

City, State

Degree

Graduation Date

Other Certifications Relevant to the position you are applying for:

Skills and qualifications: Licenses, Skills, Training, Awards

References

Name

Phone

Relationship

Name

Phone

Relationship

Name

Phone

Relationship

Resume

Please attach your resume If you have any problems attaching your resume, please send it to generalinformation@westforkvillage.org

CERTIFICATION

I attest that the information included in this application, as well as, any supporting documents attached, are true and complete to the best of my knowledge. Furthermore, any offer of employment is contingent upon satisfactory completion of, but not limited to, a criminal background check, credit history report and/or testing for the presence of illegal substances and/or alcohol use.I do

Please type your name (electronic signature) *

Date *