Employment

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We are always looking for qualified individuals with a great personality to provide excellent service to our members. We look forward to hearing from you. Please complete the below employment application and it will be forwarded to the appropriate department.

First and Last Name:*
Street Address:*
City, State and Zip:*
U.S. phone number:*	()-First three digitsSecond three digitsLast four digits
E-mail:*
Area Applying For:
Date Available to Work:
Are you authorized to work in the US?:	Yes No
Have you ever worked for Glen Head CC?:	Yes No
If so, when?:
Have you ever been convicted of a felony?:	Yes No
If so, please explain:
High School:
High School Address:
Dates Attended High School:
Did you graduate high school?:	Yes No
College:
College Address:
Dates Attended College:
Did you graduate college?:	Yes No
Reference 1 Full Name:
Reference 1 Relationship:
Refence 1 Company:
Reference 1 Phone Number:
Reference 2 Full Name:
Reference 2 Relationship:
Reference 2 Company:
Reference 2 Phone Number:
Company Previously Employed:
Company Previously Employed Phone Number:
Company Previously Employed Address:
Company Previously Employed Supervisor:
Company Previously Employed Job Title:
Company Previously Employed Starting Salary:
Company Previously Employed Ending Salary:
Company Previously Employed Responsibilities:
Company Previously Employed Dates Worked:
Company Previously Employed Reason for Leaving:
May we contact your previous supervisor as a reference?:
If applicable, military service branch:
Dates:
Rank at discharge:
Type of discharge:
If discharge was other than honorable, please explain:
By checking this box, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.:
If available, please upload a copy of your resume:	Upload file

240 Glen Cove Road Glen Head, NY 11545

516-676-4050

[email protected]

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