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Boys & Girls Clubs of Southeast Georgia
Job Application Form
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Name
*
First and last name
Your answer
Email
*
Your answer
Phone number
*
Your answer
Home Address
*
Your answer
Are you 18 years of age or older?
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Yes
No
Education- High School and Year Graduated
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Your answer
Education- College, Major and Year Graduated
*
Your answer
Do you have experience with groups of children?
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Your answer
Employment History- List last 3 employers and job titles
*
Your answer
Do you have a criminal record?
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Yes
No
If you answered yes above, please explain.
Your answer
Do you have a valid driver's license?
*
Yes
No
Do you have reliable transportation to work?
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Yes
No
We are open Monday-Friday 1:00pm-6:30pm (during school) and Monday- Friday 7:30am-5:30pm (Summer and holidays). Are you available to work those hours?
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Yes
No
References #1 Name:
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Your answer
References #1 Phone or Email:
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Your answer
Relationship to Reference #1:
*
Employer or Former Employer
Friend
Other:
Required
References #2 Name:
*
Your answer
References #2 Phone or Email:
*
Your answer
Relationship to Reference #2:
*
Employer or Former Employer
Friend
Other:
Required
Additional Information you would like to share:
*
Your answer
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