PACC Application for Employment
Complete all fields on BOTH SIDES. Incomplete applications or information may not be considered.
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Last Name *
First Name *
Email *
Phone number *
Current Address-Include Town/State/Zip *
Have you resided at this address for at least one year?  If not, please provide previous address here: *
Can you provide the required documentation to show you are legally authorized to work in the U.S.? *
Are you 18 years of age or older? *
How did you find out about this job posting? *
Which position(s) are you interested in? *
Required
What hours are you available to work?  List each day & time available. (Mon-Fri: mornings, afternoon, evenings; Weekends: mornings, afternoon, evenings)  Or can you work any hours needed? *
When can you start work? *
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Name and contact number of current or most recent employer. *
May we contact your current or more recent employer? *
Dates worked at current or most recent employer. *
Most recent wage earned. *
List 2 previous employers, their contact info and the dates you worked there, and your reason for leaving each. *
Name and location of High School *
High school or GED graduation date, or expected graduation date if still attending: *
List the name(s) of any schooling after high school: College, Tech School, Trade School, etc.  Graduation dates and degrees earned if any.
List THREE current or former co-workers that are not related to you that can speak about your work experience and their current phone number. *
List here any skills and/or experience you feel would be beneficial for us to know about. (Computer skills, Google Docs, bi-lingual cleaning experience, maintenance experience, certifications achieved or are currently working on to lifeguard or teach fitness, customer service, etc.) *
Electronic Signature Here: (by signing you understand this is only an application for employment, there is no guarantee you will be interviewed or hired). Applications will be kept on file for a period of 30 days. *
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