Application for Employment with the Germantown Area Chamber of Commerce

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Application for Employment with the Germantown Area Chamber of Commerce

Please fill out the form fully and to the best of your ability.
Position Applying For *

Events & Social Media Internship

Applicant Information

First Name *

Last Name *

Address

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Mailing Address if Different

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Date of Birth *

E-mail address *

Phone Number *

Education

High School, City & State *

Did you Graduate? *

Yes No

GED Certificate? *

Yes No

Current College, City & State *

Did you Graduate? *

Yes No

Years Attended *

Other Colleges Attended, City & State and Years Attended

Did you Graduate?

Yes No

Special Skills, Training, or Certifications

Employment History

Please begin with most recent employer

Start and end Date (mo/yr) *

Employer Name *

Employer Address *

Position Title *

Duties *

Start and end Date (mo/yr)

Employer Name

Employer Address

Position Title

Duties

Start and end Date (mo/yr)

Employer Name

Employer Address

Position Title

Duties

Military Service

Please fill in the following if applicable

Branch of Service

Start and End Date

Rank at Discharge

Type of Discharge

Special Skills/Duties

Other Information

Please fill in the following if applicable

Please list any scholarships, apprenticeships, licenses, certifications, memberships in professional organizations or other information you believe should be considered in evaluating your qualifications.

Supplementary Information

Are you legally authorized to work in the USA? *

Yes No

If hired, you will be required to provide proof of work authorization.

Are you at least 18 years old? *

Yes No

If not, your employment will be subject to verification that you meet the state/federal minimum age requirements for the type of work you are applying for and have obtained a work permit.

Have you ever been convicted of a crime or pleaded no contest for any offense or violation other than minor traffic violations? If yes, please answer the following question. *

Yes No

Please explain 1) Nature of the crime, 2) Date of Conviction, 3) State in which Convicted
Convictions are not an automatic bar to employment.

Do you have any pending criminal charges against you? If yes, please answer the following question. *

Yes No

Please describe 1) Nature of charges, 2) Date Issued, 3) State where issued
Convictions are not an automatic bar to employment.

Do you have access to reliable transportation? *

Yes No

Upload Resume

Applicant Certification

Applicant please read carefully and type name below with date to accept.

All information provided, and statements made by me as part of this application, or as part of any additional information provided in support of this application, are complete, correct and true to the best of my knowledge. I understand that if I am selected for employment, false information provided, or false statements made as part of this applications may be considered as cause for dismissal. *

Thank you for your submission
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Application for Employment with the Germantown Area Chamber of Commerce