TDCC.150x150.logo.jpg

application for employment

Date *
Date
Last - First - Middle
000 Street , City, State, Zip
000 Street , City, State, Zip
Phone *
Phone
Are You 18 Years or Older?
Are You Prevented From Lawfully Becoming Employed In This Country Because Of Visa or Immigration Status? *
EMPLOYMENT DESIRED
If so, May we inquire of your present employer?
Where? / When?
EDUCATION
Name and Location / No of Years Attended / Did You Graduate? / Subjects Studied
Name and Location / No of Years Attended / Did You Graduate? / Subjects Studied
Name and Location / No of Years Attended / Did You Graduate? / Subjects Studied
Name and Location / No of Years Attended / Did You Graduate? / Subjects Studied
GENERAL
Exclude Organizations, the name of which Indicates the race, creed, sex, age, marital status, color or nation of origin of its members
Rank and/or Present Membership in National Guard or Reserves
FORMER EMPLOYERS
List below last three employers, starting with the last one first
Position / Salary / Reason for leaving
Position / Salary / Reason for leaving
Position / Salary / Reason for leaving
REFERENCES
Give the names of three persons not related to you, whom you have known at least one year.
IN CASE OF EMERGENCY NOTIFY

*This form has been revised to comply with the provisions of the Americans with Disabilities Act and the final regulations and interpretive guidance promulgated by the EEOC on July 26, 1991.
The Amalgamated Transit Union - Training and Education Center (ATU-TEC)/Tommy Douglas Conference Center (TDCC) is an equal opportunity employer that makes decisions without regard to an applicant's race, color, religion, ancestry or national origin, sex, age, marital status, disability status, veteran status, genetic status, family responsibilities, sexual orientation, gender identity, or any other status protected by applicable law. In the event that you need a reasonable accommodation in the application or hiring process, please notify the person distributing or accepting this application.