Employee Application

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Use 10 digit format

(###)

###

####

Email Address

Enter your best contact email address

Position Applying For

Select Job You are interested in

Do you have any experience in the position applied for?

Select one

Yes

I'm usure

Highest education level

Select one

Tell Us About You

Give us some information about you and why you are interested in this position.

Work Availability

What days and hours are you available to work? **Office positions offered must choose between Monday-Friday days. Weekends are NOT offered.

Criminal History/Background**

Please answer truthfully or to the best of your knowledge

Yes

I'm unsure

Best time to contact you?

Select a time frame you prefer to be contact, if any.

**Sight-Hearing Encouragement Program, Inc., is an Equal Opportunity Employer and does not discriminate from background and history. All information is obtained to see where best each potential employee can and could be placed in the organization.

Employee Application

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