Dreamweaver.net - EvoCloud 2.0 - Application for Employment

General Employment Application

*Type of position you are available for

Full Time

Part-Time

Seasonal

*Position applying for You may list more than one position.

How did you learn about the Village?

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Employment Agency

Walk-In (please specify where)

Other (please specify)

Friend (please specify name)

Relative (please specify name)

Applicant Information

*Last Name

*First Name

Middle Name

*Street Address

*City

*State

*Zip Code

Home Phone Format: 305-555-0100

Cellular Phone Format: 305-555-0100

*Social Security Number Format: 123-45-6789. See the Social Security Number Notification at the bottom of this form.

*Email Address

Driver License Information

Driver's License Type

Operator Class E

Commercial Drivers License (CDL)

None

Driver License Number

Driver License State

Eligibility and History

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes

No

*Have you ever filed an employment application with the Village before?

Yes

No

If yes, give date of previous application Format: MM/DD/YYYY

*Have you ever been employed by the Village before?

Yes

No

If yes, give date(s) of previous Village employment

*Are you currently employed?

Yes

No

*May we contact your present employer?

Yes

No

*If hired, can you provide proof that you are authorized to work in the United States?

Yes

No

Proof of citizenship or immigration status will be required upon employment.

*Do you have any friends or relatives employed by the Village?

Yes

No

If yes, please indicate name and relationship

*Have you ever been convicted of a felony or first-degree misdemeanor?

Yes

No

If yes, please explain This will not automatically disqualify an applicant from employment. The nature of the offense, how long ago it occurred, and its relationship to the position applying for are taken into consideration.

Employment Experience

Employer 1

Employer 1 -- Company Name

Employer 1 -- Address

Employer 1 -- Phone Format: 305-555-0100

Employer 1 -- Job Title

Employer 1 -- Length of Service: From Format: MM/YYYY

Employer 1 -- Length of Service: To Format: MM/YYYY (or write 'present')

Employer 1 -- Hourly Rate / Salary

Employer 1 -- Supervisor's Name

Employer 1 -- Supervisor's Phone Format: 305-555-0100

Employer 1 -- Reason for Leaving

Employer 1 -- Duties Performed

Employer 2

Employer 2 -- Company Name

Employer 2 -- Address

Employer 2 -- Phone Format: 305-555-0100

Employer 2 -- Job Title

Employer 2 -- Length of Service: From Format: MM/YYYY

Employer 2 -- Length of Service: To Format: MM/YYYY (or write 'present')

Employer 2 -- Hourly Rate / Salary

Employer 2 -- Supervisor's Name

Employer 2 -- Supervisor's Phone Format: 305-555-0100

Employer 2 -- Reason for Leaving

Employer 2 -- Duties Performed

Employer 3

Employer 3 -- Company Name

Employer 3 -- Address

Employer 3 -- Phone Format: 305-555-0100

Employer 3 -- Job Title

Employer 3 -- Length of Service: From Format: MM/YYYY

Employer 3 -- Length of Service: To Format: MM/YYYY (or write 'present')

Employer 3 -- Hourly Rate / Salary

Employer 3 -- Supervisor's Name

Employer 3 -- Supervisor's Phone Format: 305-555-0100

Employer 3 -- Reason for Leaving

Employer 3 -- Duties Performed

Employer 4

Employer 4 -- Company Name

Employer 4 -- Address

Employer 4 -- Phone Format: 305-555-0100

Employer 4 -- Job Title

Employer 4 -- Length of Service: From Format: MM/YYYY

Employer 4 -- Length of Service: To Format: MM/YYYY (or write 'present')

Employer 4 -- Hourly Rate / Salary

Employer 4 -- Supervisor's Name

Employer 4 -- Supervisor's Phone Format: 305-555-0100

Employer 4 -- Reason for Leaving

Employer 4 -- Duties Performed

Education

High School -- Name

High School -- Diploma / Degree

High School -- Course of Study

Technical / Vocational School -- Name

Technical / Vocational School -- Diploma / Degree

Technical / Vocational School -- Course of Study

Undergraduate College / University -- Name

Undergraduate College / University -- Diploma / Degree

Undergraduate College / University -- Course of Study

Graduate School -- Name

Graduate School -- Diploma / Degree

Graduate School -- Course of Study

Knowledge, Skills, and Abilities

Describe all knowledge, skills, and abilities you possess and believe relevant to the position(s) you seek Examples: computer skills, supervisory or management certifications, operation of specific equipment, etc.

*Are you able to perform all the essential functions of the position(s) for which you are applying?

Yes

No

If no, is there a reasonable accommodation that can be made?

Foreign Languages

Foreign Language e.g., Spanish, Haitian Creole, Portuguese

Foreign Language -- Speaking ability

Fluent

Good

Fair

Not applicable

Foreign Language -- Reading ability

Fluent

Good

Fair

Not applicable

Foreign Language -- Writing ability

Fluent

Good

Fair

Not applicable

References

Reference 1 -- Name

Reference 1 -- Address

Reference 1 -- Phone Number Format: 305-555-0100

Reference 2 -- Name

Reference 2 -- Address

Reference 2 -- Phone Number Format: 305-555-0100

Reference 3 -- Name

Reference 3 -- Address

Reference 3 -- Phone Number Format: 305-555-0100

Veterans' Preference Claim

Do you wish to claim Veterans' Preference?

Yes

No

If Yes, it is your responsibility to submit a DD form 214 or comparable documentation that serves as a certificate of release or discharge at the time of application. You may attach it using the upload field below.

If eligible, which Veterans' Preference category are you claiming?

Category a -- Veteran with service-connected disability

Category b -- Spouse of veteran with total/permanent service-connected disability, or spouse of veteran missing in action, captured, or detained

Category c -- Wartime veteran (one day or more during a wartime period or qualifying campaign)

Category d -- Unremarried widow or widower of veteran who died of service-connected disability

Category e -- Mother, father, legal guardian, or unremarried widow or widower of a service member who died in line of duty under combat conditions

Category f -- Veteran as defined in section 1.01(14), F.S., excluding active duty for training

Category g -- Current member of any reserve component of the U.S. Armed Forces or the Florida National Guard

Not claiming Veterans Preference

Upload supporting documentation (DD-214 or equivalent)

-

Required if claiming Veterans' Preference. See the form description for the full list of acceptable documentation per Rule 55A-7, F.A.C.

Authorization and Consent

*Printed Name of Applicant (Authorization and Consent) Type your full legal name to acknowledge the authorization and consent above.

*Electronic Signature -- Authorization and Consent Type your full name as your electronic signature for the Authorization and Consent.

*Date of Authorization and Consent Format: MM/DD/YYYY

Social Security Number Notification

*Printed Name (SSN Notification) Type your full legal name to acknowledge the SSN notification above.

*Electronic Signature -- SSN Notification Type your full name as your electronic signature for the SSN notification.

*Date of SSN Notification Acknowledgement Format: MM/DD/YYYY

Additional Information

Additional notes Use this space if any earlier answer needs more room.

Attach a resume (optional)

-

PDF, Word, or plain text. Optional -- resume does not replace any required field above.