Employment Application

Employment Application

If you are under 18 years of age, can you provide required proof of your eligibility to work?
Have you ever filed an application with us before?
If Yes, give date:
Have you ever been employed with us before?
If Yes, give name at time of employment and dates of employment:
Are you currently employed?
If Yes, may we contact your present employer?
Are you prevented from being lawfully employed in this country because of Visa or Immigration Status? (proof of citizenship or immigration status will be required upon employment.)
Can you travel if job requires it?
Are you currently on lay-off status and subject to recall?
Have you been convicted of a felony? (Conviction will not necessarily disqualify an applicant from employment.)
If Yes, please explain, including date, location, and conviction:
On what date would you be available to work?
Are you available to work:
Position(s) Applying For:*
Elementary School:
High School:
High School Graduation Date:
High School Diploma or Degree:
Undergraduate College:
Undergraduate Course of Study:
Undergradaute Years Completed:
Undergraduate Diploma or Degree:
Graduate or Professional School:
Graduate or Professional Course of Study:
Graduate or Professional Years Completed:
Graduate or Professional Diploma or Degree:
Indicate any foreign language you can speak, read, and or write, and if you are Fluent, Good, or Fair in that language.
Describe any specialized training, apprenticeships, skills, and extra-curricular activities.
Describe any job-related training received in the military.
Employer1 Name:
Employer1 Address:
Employer1 Phone:
Employer1 Job Title:
Employer1 Dates Employed:
Employer1 Work Performed:
Employer1 Reason for Leaving:
Employer2 Name:
Employer2 Address:
Employer2 Phone:
Employer2 Job Title:
Employer2 Dates Employed:
Employer2 Work Performed:
Employer2 Reason for Leaving:
Employer3 Name:
Employer3 Address
Employer3 Phone:
Employer3 Job Title:
Employer3 Dates Employed:
Employer3 Work Performed:
Employer3 Reason for Leaving:
Other Qualifications (Summarize special job-related skills and qualifications acquired from employment or other experience.)
List professional, trade, business, or civic activities and offices held. (You may exclude membership which would reveal gender, race, gender identity, sexual orientation, religion, national origin, age, ancestry, disability, or other protected status.)
Specialized Skills:
State any additional information you feel may be helpful to us in considering your application:
Reference 1 Name:
Reference 1 Phone:
Reference 1 Mailing Address:
Reference 2 Name:
Reference 2 Mailing Address:
Reference 2 Phone:
Reference 3 Name:
Reference 3 Mailing Address:
Reference 3 Phone:

If applicable, please email your resume to: jobs@websterenterprises.org.

By clicking on the Submit Application button, and thus submitting this application, I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by an applicable law, any employment relationship with this organization is of an at will nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. I further understand that this at will employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.