1. APPLICATION FOR EMPLOYMENT
Today's Date:
Personal Information
Name:
Last: First: MI:
Address:
Street: City: State: Zip Code:
Telephone:
Home: Cellular: Pager:
E-mail Address: Social Security Number:
Employment Information
þÿ
Date
Position Applying for: Location: Available:
How were you referred to our þÿ
*Internet/Agency/
Company? Employee Name:
Are you 18 years of age or þÿ
What is your desired salary range: older?
þÿ
If hired, can you furnish proof that you are þÿ
Type of employment desired? eligible to work in the U.S.?
Do you have any relatives employed by þÿ
Lincoln Educational Services? Name of Relative:
Are you able to meet the Do you have the required licenses and
attendance requirements of the þÿ certifications to perform the job for which þÿ
position? you have applied?
þÿ þÿ
Are you able to work overtime? Are you able to work unusual hours?
Can you perform the essential
functions of the job for which you þÿ If necessary, as a requirement of the þÿ
are applying? position, can you be bonded?
Have you signed a non-compete agreement of any kind that is currently in effect? (If yes, please þÿ
attach a copy with this application.
þÿ
Have you ever pled "guiilty" or "no contest" to, or been convicted of a crime?
If yes, please provide dates and details:
Answering "YES" to this question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and
nature of the violation, rehability and position applied for will be taken into account.
Professional References
Name Job Title Telephone Relationship to Applicant
An Equal Opportunity Employer

2. Lincoln Educational Services
Employment History
Current Date Date
Employer: From: To:
Address:
City: State: Zip Code:
Positions/
Duties:
Beginning Salary: End Salary: Bonus:
Supervisor May we þÿ
Name: Title: Contact:
Reason for Leaving:
Date Date
Employer: From: To:
Address:
City: State: Zip Code:
Positions/
Duties:
Beginning Salary: End Salary: Bonus:
Supervisor May we
þÿ
Name: Title: Contact:
Reason for Leaving:
Date Date
Employer: From: To:
Address:
City: State: Zip Code:
Positions/
Duties:
Beginning Salary: End Salary: Bonus:
Supervisor May we
þÿ
Name: Title: Contact:
Reason for Leaving:
Date Date
Employer: From: To:
Address:
City: State: Zip Code:
Positions/
Duties:
Beginning Salary: End Salary: Bonus:
Supervisor May we þÿ
Name: Title: Contact:
Reason for Leaving:
þÿ
Have you ever been asked to resign from a position?
An Equal Opportunity Employer

3. Lincoln Educational Services
Educational Data
Colleges/Universities City State Major Degree Received
Name:
Name:
Diploma/Degree
Technical/Trade School City State Major Received
Name:
High School City State Diploma?
þÿ
Name:
Location:
Additional Training, Certifications, Education and Skills
Summarize any training, skills, licenses and/or certificates that may qualify you as being able to perform job-related
functions in the position for which you are applying:
Application Statement
I certifiy that all information I have provided in order to apply for and secure work is true, complete and correct. I understand that any statement provided
by me that is found to be false, misleading, or incomplete in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii)
immediately discharge me from Lincoln Educational Services whenever it is discovered. I hreeby authorize, without reservation, Lincoln Educational
Services Corporation or it's disignees to make such investigations and inquires of my employment history, educational background, criminal conviction
history, civil litigation history, driving record or credit history as may be necessary in arriving at an employment decision. I hereby authorize past
employers, schools, and references listed herein to provide informatoin in response to inquires made in connection with this appliation as Lincoln
Educational Services requests information in relation to my character, work habits, performance, and experience, along with reasons for termination of
past employment. I release said companies, schools or persons from any and all liability for providing this information. I understand that if an offer of
employment is made, I must satisfactorily complete a drug screening
test.
I undertand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or
excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.
If employed, I agree to comply with the rules and regulations of Lincoln Educational Services. If I am hired, I understand that I am free to resign at any
time, with or without cause and without prior notice, except as required by law. Equally, Lincoln Educational Services is free to terminate my employment
at any time, with or without caue, and without prior notice. This application does not constitute an agreement or contract for employment for any specified
period or definite duration. I understand that no supervisor or representative of Lincoln Educational Services is authorized to make any assurances to the
contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the
CEO.
DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT.
I certify that I have read, understand, and by my signature accept all terms of the foregoing Application Statement.
Signature of Applicant: Date:
LINCOLN EDUCATIONAL SERVICES IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER.
ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATIONAL ORIGIN,
AGE, DISABILITY, VETERAN STATUS OR ANY OTHER STATUS PROTECTED BY LAW.
An Equal Opportunity Employer

4. It is unlawful in Massachusetts to requie or administer a lie detector test as a condition of employment or continued employment. An employer who
violates this law shall be subjected to criminal penalties and civil Liability
Mission Statement
Our Institutes are dedicated to educating and training students
to a state of proficiency that willl qualify them for the technical positions
in which they can achieve career goals and realize self-esteem.
We accomplish these objectives by maintaining a high degree
of quality, service and commitment to the student. The quality
of the programs is ensured by providing equipment and curriculum
that is continually reviewed and updated to reflect changes in
technology, and utilizing skilled and knowledgeable instructors.
As a result, students achieve a level of knowledge and experience
commensurate with their future working environment.
We are committed to providing skilled professionals to
meet the needs of the technology changing world. This
commitment is realized by conducting programs in specialized
technology with the highest level of professionalism,
integrity and responsibility to each student's future.
An Equal Opportunity Employer

5. New Location
Newspaper Yes Full-Time
Aliante - #61 TV/Radio No Part-Time
Allentown, PA - #7 Walk-in Temporary
Brockton, MA - #35 Internet * Work Study
CC Philly, PA - #42 Agency *
Columbia, MD - #15 Current Employee *
Corporate - #99
Cromwell, CT - #55
Dayton, OH - #48
Denver, CO - #30
Edison, NJ - #21
Florence, KY - #52
Florida Online - #64
Franklin, OH - #51
Grand Prairie, TX - #11
Green Valley, NV - #60
Hamden, CT - #56
Indianapolis, IN - #4
Lincoln, RI - #34
Lowell, MA - #39
Mahwah, NJ - #14
Marietta, GA - #40
Melrose Park, IL - #16
Mt. Laurel, NJ - #22
Nashville, TN - #17
NE Philly, PA - #41
New Britain, CT - #57
Paramus, NJ - #45
Philadelphia, PA - #5
Queens, NY - #18
Shelton, CT - #58
Somerville, MA - #38
Summerlin, NV - #59
Tri-County, OH - #50
Union, NJ - #2
Vine St., OH - #49
West Palm Beach, FL - #62

6. Graduate
G.E.D.
Temporary Did not graduate
Work Study