Employment Application

APPLICANT INFORMATION

NAME(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

MOBILE PHONE(Required)

EMAIL(Required)

DATE AVAILABLE(Required)

DESIRED SALARY(Required)

POSITION APPLIED FOR

ARE YOU A CITIZEN OF THE UNITED STATES?

YES

NO

IF NO, ARE YOU AUTHORIZED TO WORK IN THE UNITED STATES?

YES

NO

HAVE YOU EVER WORKED FOR THIS COMPANY?

YES

NO

IF SO, WHEN?

UPLOAD YOUR RESUME

Max. file size: 16 MB.

EDUCATION/CERTIFICATIONS

HIGH SCHOOL

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

FROM

TO

DID YOU GRADUATE?

YES

NO

DEGREE

COLLEGE

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

FROM

TO

DID YOU GRADUATE?

YES

NO

DEGREE

OTHER

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

FROM

TO

DID YOU GRADUATE?

YES

NO

DEGREE

Please list three professional references.

FULL NAME

RELATIONSHIP

COMPANY

PHONE

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

FULL NAME

RELATIONSHIP

COMPANY

PHONE

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

FULL NAME

RELATIONSHIP

COMPANY

PHONE

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

COMPANY

PHONE

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SUPERVISOR

JOB TITLE

RESPONSIBILITIES

FROM

TO

REASON FOR LEAVING

MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?

YES

NO

COMPANY

PHONE

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SUPERVISOR

JOB TITLE

RESPONSIBILITIES

FROM

TO

REASON FOR LEAVING

MAY WE CONTACT YOUR PREVIOUS SUPERVISOR FOR A REFERENCE?

YES

NO

SPECIAL SKILLS AND VOLUNTEER ACTIVITIES

Do you have any special skills, experience, volunteer work, and/or training that is relevant to your ability to perform the position applied for? If yes, describe.

MILITARY SERVICE

Branch

FROM

TO

RANK AT DISCHARGE

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Severna Park Community Center is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: Severna Park Community Center is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Severna Park Community Center are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, sexual orientation, family or parental status, or any other status protected by laws or regulations. Severna Park Community Center will not tolerate discrimination or harassment based on any of these characteristics. Severna Park Community Center encourages applicants of all ages. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand that should I be employed by Severna Park Community Center, this application does not constitute an employment contract and that the Center may terminate the employment relationship for any lawful reason, at any time, with or without notice.

SIGNATURE

Date