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FillingOutJobApplications|ExOffenders|CAREERwiseEducation

PracticeJobApplication

Youhavecompletedanonlinejobapplicationform.Noneofyourinformationissaved.Youcannowprintthisjob
applicationtorefertowhenfillingoutotherapplications.

Printthisapplication

Itemswithanasterisk(*)mustbecompletedtomovetotheNextstep.

Personalcontactinformation
Pleaseprovideallofthefollowingcontactinformation.
*FirstName:

Cole

*LastName:

Yocham

*Email:

cole.yocham@goblins.k12.ar.us

*Address:

1913wellingtonSt.

Address2:
*City:

Harrison

*State:

AR

*ZIPCode:

72601
Enteryour5digitZIPcode

*PhoneNumber:

8707413496
Enteryourphonenumberusingthefollowingformat:xxxxxxxxxx

Generalinformation
Ananswerisrequiredforthefollowingquestions.

*Haveyoupreviouslyappliedforemploymentorbeenemployedwithus?
no

Ifso,whendidyoulastapplyorworkforus? N/A

*AreyoulegallyeligibleforemploymentintheUnitedStates?
yes

*Whichpositionorpositionsareyouinterestedinapplyingfor?
Anypositionthatallowsmetomoveandbe
sociable.

Maximumresponse255chars,approx.5rowsoftext.

*Whatisyourexpectedsalaryrange? 14/hr

*Ifemployedinthejobforwhichyouareapplying,willyoubeworkinginthesamelocationasarelativeor
someonethatyoulivewith?
Yes

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FillingOutJobApplications|ExOffenders|CAREERwiseEducation

*Howdidyoulearnofourorganization?
(Selectoneoftheavailablechoicesorenteradifferentvalue.)
Relative

IfOther,pleaseexplain:

Copyoruploadyourresumebelow
Tocopyyourresume,saveitinrichtextformatthencopyitintotheboxbelow:

Uploadyourresume(optional) ChooseFile Nofilechosen

Uploadedresumewillnotbesubmittedtoorsavedinourdatabase.

Educationalhistory
Highschool

Highschoolnameandlocation:
HarrisonHighSchool
925GoblinDr

Diplomaearned:
HighSchoolDiploma

Maximumresponse255chars,approx.5rowsoftext

College

Collegenameandlocation:
HendrixCollege

Collegemajororcourseofstudy:
TheaterArts
Howmanyyearsofcollegedidyoucompleteatthisinstitution?
4

Maximumresponse255chars,approx.5rowsoftext

Whichdegreeordiplomadidyouearnatthisinstitution?
(Selectoneoftheavailablechoicesorenteradifferentvalue.)
BachelorofArt
Othereducation

Nameandlocationofschool:

Maximumresponse255chars,approx.5rowsoftext

Majororcourseofstudyatthisinstitution:

Degreeorcertificationatthisinstitution:
Pleaseselectresponse

IfOther,pleaseexplain:

Addmoreeducation

Otherskillsandqualifications

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FillingOutJobApplications|ExOffenders|CAREERwiseEducation

Otherskillsandqualifications
Summarizeanyjobrelatedtraining,skills,licenses,certificationsand/orotherqualifications:
4yeareducationatHendrixCollegemajoringin
TheaterArts.

Maximumresponse255chars,approx.5rowsoftext

Employmenthistory
Pleasestartwithyourmostrecentemployment.Listallemployment/volunteerexperienceinthelastfiveyearsand/orthe
threemostrecentemployers.
Currentormostrecentemployer

Companynameandlocationofyourcurrentor
mostrecentemployer:

Startdate
(month/year): N/A

N/A

Enddate(month/yearifnotcurrentlyemployedatthis
institution):

Maximumresponse255chars,approx.5rowsoftext

N/A

Jobdescriptionwhileatthiscompany:

Hoursperweekwhileinthisposition:
Pleaseselectresponse

N/A

Beginningpay(pleasespecifyannualorhourly):
N/A

Maximumresponse255chars,approx.5rowsoftext

Endingorcurrentpay(pleasespecifyannualorhourly):
N/A

Reasonforleavingthisposition:
N/A

Maximumresponse255chars,approx.5rowsoftext

Supervisor'sname,titleandphonenumber:

Maywecontactthisemployerforemploymentverificationand
referencepurposes?
Pleaseselectresponse

N/A

Maximumresponse255chars,approx.5rowsoftext

References
Pleaseprovideatleasttwo(2)references.Businessreferencesarepreferredunlessyoudonothavepreviouswork
experience.
Reference1
*Reference1name:

BethWalters

*Reference1relationshiptoyou:

ChoirTeacher

*Reference1phonenumber(areacode
andphone):

HJHS

Reference2

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FillingOutJobApplications|ExOffenders|CAREERwiseEducation

*Reference2name:

TinaOliver

*Reference2relationshiptoyou:

Mother

*Reference2phonenumber(areacode
andphone):

7157385

Reference3
Reference3name:

MikeSmith

Reference3relationshiptoyou:

GrandFather

Reference3phonenumber(areacodeand
phone):

MikeSmithElectricInc.

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Copyright2016MinnesotaStateCollegesandUniversities
MinnesotaStateCollegesandUniversitiesisanEqualOpportunityemployerandeducator.

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