Employment Application

Contact Information

Last	Sulya
First	Nate
Middle	Test
Address	900 Barton St, Fredericksburg VA 22401-5702
Phone Number	+15089968885

Personal Information

Driver's License	Yes
Driver's License State	WA
Driver's License Number	555
Are you at least 18 years old?	Yes
Are you legally eligible to work in the United States?	Yes
Have you previously worked for the Town of Colonial Beach in any capcity?	No

Work Experience: List past relevant work experience. Please include US Military service.

Employer	Safeway
Phone	+15038658878
Address	800 W Sharp Ave, Roseburg OR
Position Held	Test
Dates of Employment	2022-06-01 - 2022-06-27
Supervisor	test
Summary of Duties (Do Not Put "See Resume")	test
Reason for Leaving	test
Do You Have Additional Work Experience to List?	No

Education

Please select the highest level of education completed.	Completed high school (Diploma or GED)
School Name	test
Dates Attended (MM/YYYY to MM/YYYY)	05/2020 - 06/2021
Did you graduate?	Yes

Miscellaneous

What is your desired compensation?	10
Are you willing to relocate?	Yes
When are you available to work?	Day
What type of work are you looking for?	Full-time
Please list any additional information you believe relevant to your application (e.g. skills, certifications, etc.)

Documents:

Please upload any documents you think relevant to your application (resume, transcripts, cover letter, etc.)

Employment Application-4.pdf

References: Please provide the contact information for three (3) work-related references.

Name	test
Phone	+15038658878
Relationship to you (e.g. former supervisor)	test

References: Please provide the contact information for three (3) work-related references.

Name	test
Phone	+15038658878
Relationship to you (e.g. former supervisor)	test

References: Please provide the contact information for three (3) work-related references.

Name	test
Phone	+15038658878
Relationship to you (e.g. former supervisor)	test