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STMC Employment Application

NAME AND ADDRESS
Given (First) Name: Middle Name(s)
Last(Family)Name Social Security Number
Gender Date of Birth:
Street Number & Name Apartment Number
City State
Postal/Zip Code Email
Primary Phone Number Secondary Phone Number
May we use an e-mail to contact you ?
How did you hear about us ?
ADDITIONAL INFORMATION
Have you ever been an employee of this organization in the past ?
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States
Have you ever been convicted of, or entered a plea of guilty, no contest, or had a withheld judgment to a felony?
JOB TYPE
Position Applying for: Microsoft Office Instructor Web Design Instructor English Instructor
  IT Administrator Other (please specify)
Full Time Part Time Permanent Temporary
Monday From: TO: Tuesday From: TO:
Wednesday From: TO: Thursday From: TO:
Friday From: TO: Saturday From: TO:
 
Techincal Skills
max. 50 char.
Education
School From: To:
Name of the School: Location:
Did you graduate?
Type of degree or diploma ?
 
 
School From: To:
Name of the School: Location:
Did you graduate?
Type of degree or diploma ?
Work History
Job Title Hrs/Week
From: To:
Employer Name: Phone Number
May we contact this employer? Reason for leaving?
Address City
State ZIP CODE
Job Title Hrs/Week
From: To:
Employer Name: Phone Number
May we contact this employer? Reason for leaving?
Address City
State ZIP CODE
Job Title Hrs/Week
From: To:
Employer Name: Phone Number
May we contact this employer? Reason for leaving?
Address City
State ZIP CODE
References
Name Title Phone
Name Title Phone
Name Title Phone