SEEN Program Technical Instructor Pre-Employment Application
An Equal Opportunity Employer. Reasonable accommodation may be provided as required by law.
Email address *
First Name *
Last Name *
Maiden Name/alias/other
Social Security Number
If you do not have a social security number or ITIN (Individual Taxpayer Identification Number), or prefer not to provide the information via this form, please enter 000-00-0000. The information must be provided later.
Date of Birth *
MM
/
DD
/
YYYY
Address *
Primary Phone Number *
Is This Primary Number A Cell/Mobile Phone? *
Alternate Phone Number
Is This Alternate Number A Cell/Mobile Phone? *
Work Eligibility *
If hired, can you provide evidence of legal eligibility to work in the U.S.? Any offer of employment is conditioned upon completing form I-9 and providing the appropriate documents for identity and work authorization.
Education *
Education *
College Attended, Major, and Degree
Education II
College Attended, Major, and Degree
Certifications or Accomplishments
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