Employment Application

Thank you for your interest in Greater Fall River RE-CREATION. Several questions on this Employment Application are not related to the requirements for the position which you are applying for and, as such, are optional. However, they are essential to the effective implementation of the Affirmative Action Plan, which gives hiring preference for minorities, women and lower-income applicants. As such, it is to the advantage of applicant to answer all questions.

PERSONAL INFORMATION
Name:*
Address:*
Phone:
-
E-mail:
Date of Birth:
 / 
 / 
Gender:
Are You in the Military?
Please Check:
Please Specify for Other:
EDUCATION
High School:
High School Address:
Grades Attended:
Graduated High School:
High School Course of Study:
College:
College Address:
College Grades Attended:
Graduated College?
College Course of Study:
Any Other Education Institution:
Ed. Institution Address:
Ed. Institution Attended:
Graduated Ed Institution?
Ed. Institution Course of Study:
Skills Related To Position Applying For:
EMPLOYMENT DESIRED
Position Applying For:
Date You Can Start:
Salary Desired:
EMPLOYMENT HISTORY (MOST RECENT FIRST)
(1) Employer Name:
(1) Employer Address:
(1) Kind of Work:
(1) Wages Per/Hour:
(1) Start Date:
 / 
 / 
(1) End Date:
 / 
 / 
(1) Reason(s) for Leaving:
(2) Employer Name:
(2) Employer Address:
(2) Kind of Work:
(2) Wages Per/Hour:
(2) Start Date:
 / 
 / 
(2) End Date:
 / 
 / 
(2) Reason(s) for Leaving:
(3) Employer Name:
(3) Employer Address:
(3) Kind of Work:
(3) Wages Per/Hour:
(3) Start Date:
 / 
 / 
(3) End Date:
 / 
 / 
(3) Reason(s) for Leaving:
(4) Employer Name:
(4) Employer Address:
(4) Kind of Work:
(4) Wages Per/Hour:
(4) Start Date:
 / 
 / 
(4) End Date:
 / 
 / 
(4) Reason(s) for Leaving:
REFERENCES: (NON-RELATIVES)
(1) Reference Name:
(1) Phone:
-
(2) Reference Name:
(2) Phone:
-
(3) Reference Name:
(3) Phone:
-
SOURCE OF REFERRAL:
Checkbox:
If other, please specify?
Should I be employed, I understand that any misrepresentation in this application is sufficient cause for dismissal, and will be made a permanent part of my file in the files of Greater Fall River RE-CREATION. I hereby authorize RE-CREATION to investigate the foregoing statements. It is understood that in accepting this application for work, Greater Fall River RE-CREATION does not promise employment.
Electronic Signature:
Completion Date:
Word Verification: