APPLICATION FOR EMPLOYMENT

SADDLE BROOK COMMUNITY SCHOOL

PERSONAL INFORMATION

Last Name  First Name                                                Middle Name
Street City                                                              State/Zip     
Social Security #  Phone No

Cell Phone No.

Are your 18 years or older? Yes No

Are you either a US Citizen or an alien authorized to work in the United States? Yes No

If you are under 18, have  you volunteered for any of the Community School Programs?Yes No

If yes, which programs

________________________________________________________________________________________________

EMPLOYMENT DESIRED    Volunteer Position*      Paid Position
*Volunteers must be at least 13 years of age.  Two letters of recommendation from teachers also required.*

Position Date you can start? Salary Desired
Are you employed now? If so, may we inquire of your present employer?
Ever applied to this company before? Where? When?


 

EDUCATION

NAME AND LOCATION
OF SCHOOL

  *NO OF YEARS
ATTENDED

*DID YOU
GRADUATE

SUBJECTS
STUDIED
GRAMMAR SCHOOL
HIGH
SCHOOL
COLLEGE

TRADE, BUSINESS OR
CORRESPON-
DENCE SCHOOL

FORMER EMPLOYERS (LIST BELOW LAST THREE EMPLOYERS, STARTING WITH LAST ONE FIRST)

Date-Month and Year Name and Address
of Employer		 Phone # of
employer		 Salary Position Reason for
Leaving
From:
To:    

From:
To:    

From:
To:    

REFERENCES: GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU WHOM YOU HAVE KNOWN AT LEAST ONE YEAR

NAME ADDRESS PHONE # BUSINESS YEARS KNOWN

 

PHYSICAL RECORD:
Do you have any physical limitations that preclude you from performing any work
for which you are being considered? Yes No

If yes, what can be done to accommodate your limitation?
 

Please Describe:

In Case of Emergency Notify:

Name Address Phone Number Relationship

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that,
if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation for all statements contained herein and the references listed above to give you any and all information
concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties
from all liability for any damage that may result from furnishing same to you.

I understand and agree that, if hired, my employment is no for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice.

 

Date Signature

If under 18 years of age, Parent or Guardian Signature

Date