Directions

After you Submit the information you entered into the online form,
a web page of the worksheet will appear with your entries. 

- If information is CORRECT, PRINT THIS PAGE TO HAND IN. 
DO NOT click Submit button again if you return to online form web page.
- If information is INCORRECT, click Back button at top, left corner of browser screen to return
to online form, make your changes, then click Submit button again. 

Once you close out, you CAN NOT retrieve your entries.
- Make sure you print before you close out.
- If you don't finish a worksheet, print what you have.
When you return to the online form, start where you left off, and print that worksheet.
Staple worksheets together when you hand them in.
- Your teacher will automatically receive an email with all your entries after you submit the online form.
- You can type your answers in MS Word, Notepad, etc. 
and then copy and paste into the online form, if you'd like.

To make changes to online worksheet:
- To a text box entry ( i.e. ):  Highlight & delete text you'd like to change, 
then type in the correct information. 
- To a radio button selection ( i.e. ):  Just click correct selection.
To start over, click Reset button at the bottom of this page.

Application for Employment Part I

Date:
Last Name:
First Name:
Middle Initial:
Suffix:
Street Address:
City:
State:
Zip Code:
Telephone:

Work Information

Position Applied For:
Desired Hourly Rate of Pay:
What kind of position are you applying for?:
Full-time Part-time Either
How many hours can you work per week?:
Days/Hours Available to Work:
(Make list separated by commas)
Driver's License:
Yes No If you are 17 years old or younger, enter your age

Education

Have you graduated from high school or received
a high school equivalency diploma?:
Yes No
If No, select highest grade completed:
1 2 3 4 5 6
7 8 9 10 11 12

High School
School Name:
Address:
Dates Attended:
From To
Credit Hours Completed:
Type of Degree Received:
Major Course of Study:
Did you graduate?:
Yes No

Technical or Business
School Name:
Address:
Dates Attended:
From To
Credit Hours Completed:
Type of Degree Received:
Major Course of Study:
Did you graduate?:
Yes No

College or University
School Name:
Address:
Dates Attended:
From To
Credit Hours Completed:
Type of Degree Received:
Major Course of Study:
Did you graduate?:
Yes No
List additional skills, knowledge, and abilities you possess:
(Make list separated by commas)
Have you ever been convicted of a crime?:
Yes No
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type of rehabilitation:
 (Make list separated by commas)

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