Employment Application

Application

What position are you applying for?	Grant Manager
What is your desired compensation?	100,000
When are you available to start work?	In two weeks
Are you willing to relocate?	Yes
Please select which of the following shifts you are looking for.	Day
What type of work are you looking for?	Full-time

Contact Information

Last	Todd
First	Bob
Address	315 Douglas Ave, Colonial Beach VA 22443-2211
Phone Number	+18042247705

Personal Information

Driver's License	Yes
Driver's License State	VA
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?	Yes

Past Colonial Beach Employment

Position Held	TM
Dates of Employment (MM/YYYY)	07/2020 - 08/2021
Supervisor	Me

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

Employer	Test
Phone	+15406046604
Address	315 Douglas Ave, Colonial Beach VA 22443-2211
Position Held	Fry Cook
Dates of Employment (MM/YYYY)	Test
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.	Doctorate
School Name	Test
Dates Attended (MM/YYYY to MM/YYYY)	test
Did you graduate?	Yes

Reference 1

Name	test
Phone	+18042247081
Relationship to you (e.g. former supervisor)	test

Reference 2

Name	test
Phone	+18042247081
Relationship to you (e.g. former supervisor)	test

Reference 3

Name	test
Phone	+18042247081
Relationship to you (e.g. former supervisor)	test

Verify Application

Signature

Test