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Richmond Olympiad Online Job Application
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*
- denotes required fields.
Please check the required fields
PERSONAL INFORMATION:
Full Name:
*
Full Address:
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Street Address, City, State, Zip Code
Phone Number:
*
###-###-####
Email Address:
Are you eligible to work in the United States?:
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Yes
No
Have you been convicted of or pleaded no contest to a felony?:
*
Yes
No
If yes above, please explain:
Have you ever been charged with, convicted, pled guilty, or pled no contest to a crime involving any or more of the following: Violence, sexual misconduct with a minor, sexual molestation, indecency, stalking, theft, property damage, weapons, dishonesty, fraud, robbery, burglary, or drugs?
*
Yes
No
If yes above, please explain:
POSITION/AVAILABILITY:
Position you are applying for:
Days you are available:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours you are available:
Example: from 9am to 5pm
What date are you available to start work?
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EDUCATION:
Please List All Names and Address's Of Colleges & Schools attended - Degrees/Diplomas - Graduation Dates:
Skills and Qualifications: Licenses, Skills, Training, Awards:
EMPLOYMENT HISTORY:
Present or Last Employer:
Present Or Last Position Title:
Address:
Supervisors Name:
Phone Number:
###-###-####
Date of Employment From-To:
Example: from Jan 1999 to Jan 2005
Job Responsibilities:
Reason for Leaving:
PREVIOUS POSITION:
Previous Employer:
Position Title:
Address:
Supervisors Name:
Phone Number:
###-###-####
Date of Employment From-To:
Example: from Jan 1999 to Jan 2005
Job Responsibilities:
Reason for Leaving:
May We Contact Your Present Employer?:
Yes
No
REFERENCES:
Reference 1
Name/Title Address Phone
Reference 2
Name/Title Address Phone
Reference 3
Name/Title Address Phone
I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired:
*
I authorize the verification of any or all information listed above.
I do not authorize the verification of any or all information listed above.
Security Code:
*
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