General Information:
First Name:
Middle:
Last Name:
Address:
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State:
Zip Code:
Home Phone:
Mobile Phone:
Other Phone:
E-mail Address:
Were you previously employed by us:
Yes
No
If yes, then when?
Position Desired:
Position Applied For:
Administrative Assistant
Instructor
Translator
Interpreter
Summer Camp Head Counselor
Summer Camp Counselor
Summer Camp Coach
Other
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Date Available:
Minimum Wage Desired:
per
Hour
Year
Type:
Full Time
Part Time
Temporary
Independent Contacto
r
Language/Subject:
English as a Second Language
Spanish as a Second Language
Spanish for Native Speakers
French
Italian
Portuguese
German
Russian
Mandarin
Japanesse
Test Prep
Reading
Language Arts
Math
Science
Social Studies
Other
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Hours you cannot work:
Skill:
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Employee
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References:
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Reference #1
Name:
Organization:
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Email:
Years Known:
Reference #2
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Email:
Years Known:
Reference #3
Name:
Organization:
Relationship:
Telephone
Email:
Years Known:
Education:
High School:
Name:
Location:
Diploma Recieved:
Yes
No
College/University:
Name:
Location:
Major:
Degree Received:
Other Education:
Name:
Location:
Training Received:
Employment History:
Employer #1
(Most Recent)
Company Name:
Company Address:
Company Phone:
From: (Month/Year)
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Your Position:
Supervisor's Name:
Supervisor's Position:
Starting Salery:
Ending Salery:
Your Duties:
Reason for Leaving:
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Employer #2
Company Name:
Company Address:
Company Phone:
From: (Month/Year)
1
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Your Position:
Supervisor's Name:
Supervisor's Position:
Starting Salery:
Ending Salery:
Your Duties:
Reason for Leaving:
Check this box if you DO NOT want us to contact this employer:
Employer #3
Company Name:
Company Address:
Company Phone:
From: (Month/Year)
1
2
3
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5
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11
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2012
2011
2010
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2012
2011
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Your Position:
Supervisor's Name:
Supervisor's Position:
Starting Salery:
Ending Salery:
Your Duties:
Reason for Leaving:
Check this box if you DO NOT want us to contact this employer:
Resume:
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