Application for Employment
Thank you for you interest in joining the ChangingGears team. Please complete the following application to tell us a little about yourself.

After you submit your application, please email your resume to jobs@changing-gears.org.
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General Information
Full Name *
Address *
Preferred contact type *
Phone Number
Email Address *
Date Available for Work *
Work Experience - 1
Provide the following information for your current or most recent job.
Company Name *
Company Address *
Company Phone Number *
Supervisor's Name *
Start Date *
End Date (if applicable)
Job Title *
Description of your duties and responsibilities *
Reason for leaving (if applicable)
May we contact this employer? *
Work Experience - 2
Provide the following information for additional work experience.
Company Name
Company Address
Company Phone Number
Supervisor's Name
Start Date
End Date (if applicable)
Job Title
Description of your duties and responsibilities
Reason for leaving (if applicable)
May we contact this employer?
Clear selection
Education - High School
Provide information if applicable
High School
Address
Start Date
End Date
Did you graduate?
Clear selection
Degree
Education - College
Provide information if applicable
College
Address
Start Date
End Date
Did you graduate?
Clear selection
Degree
Education - Other
Provide information if applicable
Other
Address
Start Date
End Date
Did you graduate?
Clear selection
Degree
Reference - 1
Full Name *
Relationship *
Company *
Phone Number *
Reference - 2
Full Name
Relationship
Company
Phone Number
Reference - 3
Full Name
Relationship
Company
Phone Number
Additional Information
Why are you interested in working at ChangingGears? *
Personal Interests or Hobbies
How did you hear about ChangingGears?
Any other information you would like to share.
Acknowledgment and Authorization
I certify that all answers given herein are true and complete to the best of my knowledge. *
Required
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. *
Required
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination *
Required
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