Jobs

Name:      Date:
Address:
City:         State:   Zip:
Phone:     Alt. Phone:

EDUCATION

High School:

School:   Dates Attended:   Diploma/Degree:
School:   Dates Attended:   Diploma/Degree:

Business/Trade School:

School:   Dates Attended:   Diploma/Degree:
School:   Dates Attended:   Diploma/Degree:

Undergraduate:

School:   Dates Attended:   Diploma/Degree:
School:   Dates Attended:   Diploma/Degree:

Graduate:

School:   Dates Attended:   Diploma/Degree:
School:   Dates Attended:   Diploma/Degree:

Additional Experience or Courses:

REFERENCES (including present employer) Please include phone numbers:

1:
2:
3:
4:

JOB SPECIFIC INQUIRIES:

Have you ever applied for employment with us? Yes No - If yes, when
Type of employment seeking? Full-time Part-time
HAVE YOU BEEN CONVICTED OF A FELONY WITHIN THE LAST 5 YEARS? Yes No

Record of conviction does not disqualify applicant from employment consideration.

SALARY:

Present Salary: Expected Salary:

By submitting this application, you are confirming that you have read the following statement.

The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of act on this application or any interview may result in my dismissal. I understand that this employment application and other documents are not contracts of employment. I authorize Summit School to thoroughly investigate my references, personal history, work record and matters related to my suitability for employment. I also release Summit School from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. I understand and agree that if I am employed, I will be asked to sign a Contract stating terms of my employment.

Please note that this application is considered current for six months. If you want to be considered for employment after this time, you must complete another application form.