Wendell Foster's Campus


APPLICATION FOR EMPLOYMENT

 

Name: (First, Middle, Last)
 
Social Security No.
 --

Position applying for: (select from list)   If other, please specify:
            

Street Address:        City:        State:               Zip: Main Phone:    Alt. Phone:
Email:
Which do you prefer to work? (check all that apply) Full Time Part Time On Call Date available:     
What schedule can you work? 1st Shift 2nd Shift 3rd Shift Any Shift  Weekdays only    Week-ends only    Any schedule
Have you previously been employed with WENDELL FOSTER'S CAMPUS?         Yes   No If so, list hire and leaving dates:
Hire date:   Leaving Date:

 

EDUCATION

Select the highest grade completed.  10 11 12   GED
Name of High School or College Degree or Diploma Major Subject/Studies
High School                      
College or University  (If more than one, list below)            
Technical or Professional Training:


Skills/Specialties/Other Education/Certifications:
List other College, technical or specialized skills, certifications, professional licenses, registrations held,  knowledge of computers, software, etc.


RECENT EMPLOYMENT

Company Name: Company Location/Address:
Company Phone:
Dates of employment: From:
To:
Immediate Supervisor:

May we contact them?
Yes   No

Reason for Leaving:
Description of Duties/Responsibilities:

 

Company Name: Company Location/Address:
Company Phone:
Dates of employment: From:
To:
Immediate Supervisor:

May we contact them?
Yes   No

Reason for Leaving:
Description of Duties/Responsibilities:

 

Company Name: Company Location/Address:
Company Phone:
Dates of employment: From:
To:
Immediate Supervisor:

May we contact them?
Yes   No

Reason for Leaving:
Description of Duties/Responsibilities:

 

REFERENCES

Name:
Address:
Phone:
Name:
Address:
Phone:
Name:
Address:
Phone:

 

STATEMENTS

Have you ever been convicted of a crime or violation other than a minor traffic infraction?              Yes    No
If Yes, please explain: 

Due to government regulations any felony conviction will be a bar to employment. A conviction will not necessarily be a bar to employment if convictions are not felonies. Factors such as job relations, age at time of offense, seriousness of violation and rehabilitation will be taken into account.

 

The above information is true and complete to the best of my knowledge. Should I be employed at Wendell Foster's Campus, any misrepresentation of false statement contained herein may be considered cause of possible dismissal. Wendell Foster's Campus has my permission to obtain all necessary information from the references I have listed, or any other sources, concerning my prior employment, personal history or credit standing and I release all parties from any possible damages resulting from disclosing such information with or without prior written notice to me. I reserve the right to know the names and addresses of any investigative agencies used in order that I may learn the information contained in ay reports furnished to Wendell Foster's Campus.

I understand this application does not constitute an employment contract of any kind. I also understand that Wendell Foster's Campus is an "at will" employer and if employed I may resign such employment at any time at my discretion with or without prior notice and that Wendell Foster's Campus may terminate my employment at any time at their discretion, with or without cause and without prior notice. I FURTHER UNDERSTAND THAT FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.

By Initialing, I acknowledge that I have read and understand all statements in this document:     INITIALS

 

 


Copyright © 2008 Wendell Foster's Campus, Inc. All rights reserved.
Revised: 10/07/08