Job Application : Career Opportunities : The Arc of King County

Employment Application Form for The Arc of King County

This Agency, is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age, or disability. We assure you that your opportunity for employment within this Agency depends solely on your qualifications.

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Contact Information

Last Name

First Name

Middle Name

Maiden Name (If Applicable)

Street Address

City

State

Zip

How long have you lived at this address?

Phone Number

Email Address

If under 18, please state age

Position

Position Applied For

When are you available to start work?

Days/Hours Available to Work

Employment Desired

Full-Time Only
Part-Time Only
Full- or Part-Time

Referred by

Employment History

Last/Present Employer

Position Title

Company Address

Employment Start Date

Employment End Date

Reason for Leaving

Position Duties

May we contact this employer?

Supervisor's Name

Supervisor's Title

Supervisor's Phone Number

Previous Employer

Position Title

Company Address

Employment Start Date

Employment End Date

Reason for Leaving

Position Duties

May we contact this employer?

Supervisor's Name

Supervisor's Title

Supervisor's Phone Number

Previous Employer

Position Title

Company Address

Employment Start Date

Employment End Date

Reason for Leaving

Position Duties

May we contact this employer?

Supervisor's Name

Supervisor's Title

Supervisor's Phone Number

Education History

Name and Address of High School

Number of Years of High School Completed

Degree Completed

Name and Address of College/Tradeschool (if applicable)

Number of Years of College/Tradeschool Completed

Major and Degree

Name and Address of Professional School (if applicable)

Number of Years of Professional School Completed

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Major and Degree

References - Please list two professional references

Name of Reference 1

Position/Title

Company

Email Address

Phone Number

Name of Reference 2

Position/Title

Company

Email Address

Phone Number

Affidavit (Please read carefully)

I certify that the above statements I have made in this application are true and complete. I authorize verification of all statements contained in the application which The Arc of King County may deem relevant to my employment and authorize my previous em

I understand and agree that if it is subsequently discovered that the information herein is untrue or that I have failed to disclose a material fact, any offer of employment made to me by The Arc of King County may be immediately withdrawn or, if I am alr

In accordance with the Immigration Reform and Control Act of 1986, The Arc of King County will only hire United States citizens and aliens lawfully authorized to work in the United States. I understand that I will be required to complete the designated em

I understand and agree that if I am employed as a result of this application, my employment will be at-will which I understand means that I will not be employed for any definite period of time and that my employment may be terminated at any time.

Employment Application Form for The Arc of King County

Contact Information

Position

Employment History

Education History

References - Please list two professional references

Affidavit (Please read carefully)

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