Today's Date *

MM

DD

YYYY

Legal Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone *

(###)

###

####

Cell Phone *

(###)

###

####

Are you 18 or Older? *

Yes

No

If you are not 18 or older, list birth date.

MM

DD

YYYY

Are you applying for: *

Regular Full Time Work

Regular Part Time Work

Seasonal Work

If Seasonal, during what period of time are you available to work, starting From:

MM

DD

YYYY

If Seasonal, available ending date:

MM

DD

YYYY

If Regular, Date Available to Work

MM

DD

YYYY

Are you available to work weekends? *

Yes

No

Overtime, if necessary? *

Yes

No

Are you willing to live on site, if necessary? *

(Housing, if provided, is at the convenience of the employer)

Yes

No

Have you applied to work at Cathedral Ridge before? *

Yes

No

If yes, when ?

MM

DD

YYYY

If hired, would you have a reliable means of transportation to and from work? *

Yes

No

If you are under 16, can you submit a work permit?

Yes

No

If hired, can you present evidence of US citizenship or proof of legal right to live and work in this country? *

Yes

No

Are you able to perform the essential functions of the job for which you are applying, either with or without accommodation? *

Yes

No

Are you currently employed? *

Yes

No

Have you ever been involuntarily discharged, asked to leave a position, or failed to be re-employed? *

Yes

No

Did you graduate from High School? *

Yes

No

Currently Enrolled in High School

GED

Did you graduate from college?

Yes

No

Did You Graduate?

Yes

No