austin applicantion

1. 611 S. Congress Suite 200 Austin, Texas 78704 512-326-5655 fax 512-326-5922
Application for Employment
Name Aminata Ndiaye Phone # 5122167146
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Address 1300 crossing place apt 2624
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Permanent
Address ___
Email amisstyle16@yahoo.com Are you eligible to work in the U.S.? ____
yes ___
(Mark one: plain text/ HTML/ I don’t know) Permission for Action Alert Email (Circle: Daily /Weekly /Monthly)
Previous Political, Social or Volunteer Work habitat for humanity, flips for kids, Arlington life shelter, walk for leukemia
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Environmental/ Political Interests (Please be specific) water treatment plan 4
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Education Name Years Attended Graduated (if not yet, when)?
Certificate
High School Seguin high
College ACC
Employment History (Please list most recent first)
Employer Job Title Duties/ Responsibilities Start/ End dates Reason for leaving
Vector cutco rep sells product dec-feb too far
W3 events rep security the ACL _________________ ACL was
over
Nanny nanny watched and took care of children 2008-2010 moved
When are you able to begin work? As soon as possible Full or part time?
Part time
Have you ever been convicted of a felony? If yes, please explain. no
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Would you consent to a background check? Yes or No? yes Are you under the age of 17? no
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How did you hear about the position? (Circle): Statesman – Austin Chronicle – Craigslist – Idealist – Flyer – Other:
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Signature AMINA NDIAYE Date 2/21/2012
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Office use only
INT BY OBS CONF HIRE CON NOTES M T W TH F
DATE DATE F