employment application&criminal background check

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APPLICATION FOR EMPLOYMENT Please answer all questions fully and accurately even if a resume or other materials are attached. This application may be rejected if answers are vague or incomplete. The Boys & Girls Club of Harlem is an equal opportunity employer, dedicated to a policy of nondiscrimination in employment on any basis including race, color, national origin, ancestry, religion, sex, age, marital status, veteran status, sexual orientation, present or past history of mental disorder, mental retardation, learning disability or physical disability including, but not limited to blindness. PERSONAL INFORMATION Name: ____ _____ Date of Application: Address: _________________________________________________ City:__ ______ State:_ __ _____________ Zip Code:_ E-mail: ____ __ Home Telephone: _____ Work Telephone: Position for which you are applying: __ _____ Paid or Volunteer (circle one) If you are seeking paid empl oyment, what is your desired salary or hourly wage ? Availability to start (day & hour): If seeking a seasonal or temporary position, what is the end date of your availability: ______________ Do you have a site preference? (clubhouse & reason)__Boys & Girls Club of Harlem Administrative Office How did you learn of this position? (check all applicable) _ Ad __ Depart. of Labor __ School _ _ Age ncy __ Walk-in __ BGC Web site__ Other________ Have you applied t o this Club before? ____ Y es ____ No If yes, when? ___ Do you have a valid driver’s licen se? ____ Yes ____ N o If yes, State/#? ______ Do you have access to an automobile? ____ Yes ____ N o If yes, days/hours? _____ ___________

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Page 1: Employment Application&Criminal Background Check

8/8/2019 Employment Application&Criminal Background Check

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