Ts Employment Application
Ts Employment Application
Ts Employment Application
Tezara
First
M.I.
Date:
02/19/2016
Address:
Street Address
Apartment/Unit #
Forks
WA
98331
City
State
ZIP Code
360-640-5169
Phone:
Email tezaradell@hotmail.com
Social Security No.: ***-**-****
NO
YES
NO
NO
If yes, when?
YES
NO
Education
High School:
From:
2006
To: 2009
From:
2011
To: 2013
Other:
Peninsula College
2014
To: 2016
NO
YES
From:
NO
NO
References
Please list three professional references.
Full Name: Glynda Schaad
Relationship: Instructor
Company:
Peninsula College
Phone:360-374-3223 ex.6451
Address:
Relationship: Instructor
Phone:360-417-6375
Company:
Peninsula College
Address:
Company:
Phone: 360-808-3952
Address:
Previous Employment
Company:
Address:
Job Title:
Independent Provider
Phone: 360-374-9496
Supervisor: Char Carte
Starting Salary:$ 10.03/hour
July 2011
NO
Company:
Phone: 360-808-3952
Address:
Job Title:
Childcare Provider
Starting Salary:$16/hour
Ending Salary:$16/hour
Responsibilities: Provided residential in-home child care for three young children
From:
June 2010
NO
Company:
Phone:
Address:
Supervisor:
Starting Salary:$
Job Title:
Responsibilities:
From:
To:
Ending Salary:$
YES
NO
Military Service
Branch: Not Applicable
From:
Rank at Discharge:
To:
Type of Discharge:
Signature: