Youth Employment Program Application
Name *
Email *
Address *
Address-is this the address you want your check sent to?  *
Required
Birthday
MM
/
DD
/
YYYY
Phone number
Position Applied for
Professional Reference 1-Please include name, phone number, and Title/Relationship.
Professional References 2 -Please include name, phone number, and Title/Relationship.
Professional Reference 3-Please include name, phone number, and Title/Relationship. 
Previous Employment 1-Please include Company name, phone number, and supervisor.
Can we contact this supervisor?
Previous Employment 2-Please include Company name, phone number, and supervisor(if can we contact your previous supervisor)
Can we contact this supervisor?
Previous Employment 3-Please include Company name, phone number, and supervisor(if can we contact your previous supervisor)
Can we contact this supervisor?
High School Information-Dates of attendance, did you graduate, and location, degrees received. 
College Information-Dates of attendance, did you graduate, and location, degrees received. 
Are you a citizen of the United States?
If not, are you authorized to work in the US?
Have you ever worked for this company?
Have you ever been convicted of a felony?
Additional Information

-Applicants may be tested for illegal drugs.

-Leadership positions may be subject to a background check.

-If you are under 18, there are limitations to work hours and travel.  You will need parent signature on employee handbook

-Leadership positions that are driving must have a valid driver’s license

-Positions that are lifting and working outdoors/remote locations will need to submit a disclosure of health conditions and release of medical treatment.

-You are strongly encouraged to attach a resume.


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