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Position applying for: *

Have you ever applied to Coastside Children's Programs before? *

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Do you have friends or relatives working for Coastside Children's Programs? *

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If so, please state their name and relationship to you: *

Why are you applying for work at Coastside Children's Programs? *

If hired, would you have a reliable means of transportation to and from work? *

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Are you 18 years of age or older? *

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If hired, can you present proof of your legal right to live and work in this country? *

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Are you able to perform the essential functions of the job which you are applying to, either with or without reasonable accommodations? *

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If no, describe the functions that can not be performed. *

Name of High School, College, Training Institution *

# of Years Completed *

Degree or Diploma? *

Address (include City, State, Zip) *

Name of High School, College, Training Institution *

# of Years Completed *

Degree or Diploma? *

Address (include City, State, Zip) *

Name of High School, College, Training Institution *

# of Years Completed *

Degree or Diploma? *

Reference 1: *

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Last

Occupation/Current Title & Company *

# of Years Acquainted and relationship to you. *

Reference 2: *

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Last

Occupation/Current Title & Company *

# of Years Acquainted and relationship to you. *

Reference 3: *

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Occupation/Current Title & Company *

# of Years Acquainted and relationship to you. *

Address *

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Dates of Employment *

Position/Title & Reason for Leaving *

May we contact this employer for a reference? *

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Address *

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Dates of Employment *

Position/Title & Reason for Leaving *

May we contact this employer for a reference? *

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Address *

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State

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Dates of Employment *

Position/Title & Reason for Leaving *

May we contact this employer for a reference? *

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Address *

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State

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Dates of Employment *

Position/Title & Reason for Leaving *

May we contact this employer for a reference? *

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Upload Resume *

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Upload Cover Letter *

Max file size: 20MB

Check after reading: *

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I hereby authorize the company to investigate my references, and to secure additional information about me, if job related. I give the employer the right to verify any educational reference given in this application. I hereby release from liability the employer and its representatives for seeking such information and all other corporations, educational institutions or organizations for furnishing such information. I understand and agree that if I am employed, my employment is for no definite or determinable period and may e terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the company's designated representative.

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Coastside Children's Programs Employment Application

Personal Information

Education, Training, and Experience

References

Employment History

Please read carefully, and check each paragraph below.

Entering your name and submitting acts as a digital signature. You hereby agree that all information submitted is true and accurate.

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