EMPLOYMENT | O'Dowd's KC

Employment Application

We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the organization.

Name *

First

Last

Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Desired Position *

Type of employment desired *

Full-Time
Part-Time
Temporary

Date you will be available to start work: *

Are you able to meet the attendance requirements? *

Yes
No

Do you have any objection to working overtime if necessary? *

Yes
No

Can you travel if required by this position? *

Yes
No

Have you ever been previously employed by our organization? *

Yes
No

Can you submit proof of legal employment authorization and identity? *

Yes
No

If you are under 18, can you furnish a work permit if it is required? *

Yes
No

Have you ever been convicted of a crime in the last 7 years? *

Yes
No

If yes, please explain (a conviction will not automatically bar employment)?

Drivers license number (if driving is an essential job duty):

How were you referred to us?

Employment History

Please provide all employment information for your past two employers starting with the most recent.

May we contact your current employer? *

Yes
No

Employer (1): *

Address: *

Phone *

Immediate Supervisor and Title: *

Position held: *

Dates employed: *

MM/YY to MM/YY

Salary: *

Job Summary: *

Reason for leaving: *

EMPLOYER (2): *

Address: *

Phone: *

Immediate Supervisor and Title: *

Position held: *

Dates employed: *

MM/YY to MM/YY

Salary: *

Job Summary: *

Reason for leaving: *

Upload Résumé

Upload most recent résumé in .pdf, .doc, or .jpg format.

Other Skills and Qualifications

Summarize any job-related training, skills, licenses, certificates, and/or other qualifications:

Educational History

List school name and location (city, state), years completed, course of study, and any degrees earned:

High School

College:

Technical Training:

Other:

References

List 3 references names, telephone numbers, and years known (do not include relatives or employers):

Reference Info #1:

Reference Info #2:

Reference Info #3: