Brooklyn Navy Yard Development Corporation - Application For Employment
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1
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3SUMMER COLLEGE INTERNSHIP
BROOKLYN NAVY YARD DEVELOPMENT CORPORATION
APPLICATION FOR EMPLOYMENT
Brooklyn Navy Yard
Building 292, Unit 300
All applicants will be considered for employment without regard
63 Flushing Avenue
to race, religion, color, sex, national origin, age, marital or veteran
Brooklyn, NY 11205-1054
status, medical condition or handicap, or any other status
protected by law We are an Equal Opportunity Employer
PERSONAL
(Please Print)
Date__________________________________
Name _________________________________________________________________ Soc. Sec. # ____________________________
Last
First
Middle
Address ______________________________________________________________________________________________________
No.
Street
Apt.
City
State
Zip
θ Our Advt. θ Emp. Agency θ Friend or Relative θ No One
Telephone No. __________________________
Referred by:
θ
θ
Are you over 18 years of age?
Yes
No
If NO, a work permit will be required.
Are you legally eligible for permanent employment in the United States? ________ (If hired, verification will be required by law).
θ
θ
Position(s) applied for: ________________________________________________________________
Full Time
Part Time
θ
θ
θ
:
Mon. _____to _____
Tues. _______ to _______
Wed. _______ to _______
If part time, check days/hours available
θ
θ
θ
θ
Thur. _______ to _______
Fri. _______ to _______
Sat. _______ to _______
Sun. _______ to _______
θ
θ
Date you are available to start work _____/_____/_____
Salary or wages desired: $_________________
Hr.
Wk.
Have you worked for us before? _______ If YES, when? ____________________ Position _____________________________
Indicate special qualifications or skills __________________________________________________________________________
___________________________________________________________________________________________________________
Did You
EDUCATION
Name & Location of School
Course of Study
Graduate?
High School
College
Major:____________________________
Degree:
Other
θ
θ
θ
θ
Are you employed at the present time?
Yes
No
If hired, will you work overtime if required
Yes
No
Have you ever been bonded in prior employment? ________. If YES, list name(s) of employer(s): ___________________________
______________________________________________________________________________________________________________
Have you ever been convicted of a crime (excluding misdemeanors and traffic offenses)? ______. If YES, list convictions:
(A conviction does not necessarily disqualify an applicant for the position being applied for)
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