Download to read offline
EmploymentApplicationFillable
- 1. Peoria Unified SchoolDistrict #11 Work Based Learning CTE/Professional Internship Employment Application DIRECTIONS: Read carefully and fill in ALL items. Incomplete or unsigned applications will not be accepted. __________________________________________________________________________________________________________________________ Last Name First Name Middle Initial __________________________________________________________________________________________________________________________ Address City State Zip Code __________________________________________________________________________________________________________________________ Home Phone Cell Phone E-mail __________________________________________________________________________________________________________________________ Birth Date Date Available Starting Time Work History Begin with your current or most recent position. List each promotion as a separate job. Include paid and voluntary positions. Be as accurate and complete as possible, especially in describing the duties of each position. Current or Most Recent Position: __________________________________________________________________________________________________________________________ Name of Employer/Company Job Title Dates of Employment (From - To) __________________________________________________________________________________________________________________________ Employer’s Address City State Zip Code __________________________________________________________________________________________________________________________ Name of Supervisor Hours Per Week Reason for Leaving Description of Duties: __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ Next Previous Position: __________________________________________________________________________________________________________________________ Name of Employer/Company Job Title Dates of Employment (From - To) __________________________________________________________________________________________________________________________ Employer’s Address City State Zip Code __________________________________________________________________________________________________________________________ Name of Supervisor Hours Per Week Reason for Leaving Description of Duties: __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ Forrester Lindsey R 16459 N. 91st Drive Peoria AZ 85382 (623)-583-2985 (623)-512-5991 sfdfpflf8745@gmail.com 04/06/1999 ASAP 3:00 Lindsey Forrester Baby Sitter 2010-2012 16459 N 91st Drive Peoria AZ 85382 Lindsey Forrester 4-8 Started high school took care of 2 neighborhood children N/A
- 2. Education and Training College: __________________________________________________________________________________________________________________________ Nameof College Dates Attended - Month/Year __________________________________________________________________________________________________________________________ Address City State Zip Code __________________________________________________________________________________________________________________________ Classes High School: __________________________________________________________________________________________________________________________ Name of High School Dates Attended - Month/Year __________________________________________________________________________________________________________________________ Address City State Zip Code Use this space to identify any career and technical education classes you have received a “C” or better (i.e., Welding, Ag, Media, Culinary, Business Foundations, Life FACS, Drafting, Child Development, etc). __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ List any relevant certificates and licenses (Food Handlers, CPR, etc.), or specialized classes you have taken (i.e., Chemistry, Anatomy, Journalism, Photography, etc.) __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ Please give any additional information you feel is pertinent that is not listed elsewhere. Do not leave it blank . __________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________ List Three References __________________________________________________________________________________________________________________________ Reference #1: List name Address City State Zip Code Phone Number __________________________________________________________________________________________________________________________ Reference #2: List name Address City State Zip Code Phone Number __________________________________________________________________________________________________________________________ Reference #3: List name Address City State Zip Code Phone Number Signature: By signing this application, you are certifying that the information is true and complete to the best of your knowledge. Unsigned applications will not be considered. __________________________________________________________________________________________________________________________ Signature Date N/A Centennial High School 08/2013 05/2013 14388 N 79th Ave Peoria AZ 85381 Culinary, Medical Science, Sports Medicine,Art, and Personal Internship. Chemistry, Art, Creative Writing, I am excellent when it come to team work, I am dedicated to my work when I put my mind to it. I used to baby sit my neighbors children when they were gone. Bridgett Stockwell 155585 N 91st Ave Peoria AZ 85382 (480)694-5340 Mrs. Vasquez 155585 N 91st Ave Peoria AZ 85382 (623)332-9880 Mr. Kalin 155585 N 91st Ave Peoria AZ 85382 (623)826-0670