Employment Application
Jun 01, 2023
submission
#115
Personal Information
Application
What position are you applying for? | Building and grounds and any other available |
What is your desired compensation? | 16 |
When are you available to start work? | 6/4/2023 |
Are you willing to relocate? | Yes |
Please select which of the following shifts you are looking for. | Day, Evening, Night, Weekends |
What type of work are you looking for? | Full-time |
Contact Information
Last | Smith |
First | Joseph |
Middle | Patrick |
Address | 221 Colonial Ave, Colonial Beach VA 22443-2205 |
Phone Number | +12404277522 |
[email protected] |
Personal Information
Driver's License | Yes |
Driver's License State | Maryland |
Driver's License Number | Md10272115188 |
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 | Heartland dental |
Phone | +14105350296 |
Address | 205 Steeple Chase Dr, Prince Frederick MD 20678-4053 |
Position Held | Dental assistant |
Dates of Employment (MM/YYYY) | 062021 |
Supervisor | Dr gaughan |
Summary of Duties (Do Not Put "See Resume") | Cleaning of instruments, taking care of patients, |
Reason for Leaving | To far from current living location |
Do You Have Additional Work Experience to List? | Yes |
Work Experience: List past relevant work experience. Please include US Military service.
Employer | Dominoes |
Phone | +18042242334 |
Address | 700 McKinney Blvd, Colonial Beach VA 22443-1925 |
Position Held | Driver/insider |
Dates of Employment (MM/YYYY) | 072022-032023 |
Supervisor | Cairrie |
Summary of Duties (Do Not Put "See Resume") | Delivery, checking in and out customers, prep |
Reason for Leaving | Car accident |
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 | Laplata high school |
Dates Attended (MM/YYYY to MM/YYYY) | 032016-042019 |
Did you graduate? | Yes |
Reference 1
Name | Brianna aranda |
Phone | +15406567386 |
Relationship to you (e.g. former supervisor) | Girlfriend |
Reference 2
Name | Adorn aranda |
Phone | +15407064014 |
Relationship to you (e.g. former supervisor) | Friend |
Reference 3
Name | Trae Thompson |
Phone | +12407794774 |
Relationship to you (e.g. former supervisor) | Friend |
Verify Application
Signature | Joseph smith |