Job Application Form
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3RONALD McDONALD HOUSE CHARITIES OF CHARLOTTESVILLE, INC.
300 9th St., SW
Charlottesville, VA 22903
434.295.1885
JOB APPLICATION FORM
Instructions: Print clearly in black or blue ink. Answer all questions. Sign and date the form.
PERSONAL INFORMATION:
First Name
Middle Name
Last Name
Street Address
City, State, Zip Code
(
)
Phone Number
Email Address
Are you eligible to work in the United States?
Yes _______ No_______
If you are under age 18, do you have an employment/age certificate?
Yes ___ No ___
Have you been charged, convicted of, or pleaded guilty or no contest to a felony or misdemeanor?
Have you been charged, convicted of, or pleaded guilty or no contest to a felony or misdemeanor?
Yes_______ No_______
If yes, please explain:
Have you ever filed for bankruptcy?
Yes
No
If so, when?
If so, is there any other information regarding your bankruptcy you would like to offer?
POSITION/AVAILABILITY:
Position Applied For:
Days/Hours Available:
from
to
Sunday
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
On what date are you available to start work?
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Parent category: Business