Application For Employment-Dreams With Wings

Position Applying for

First name

Last name

Social Security Number

Address

Phone Number

Are you over 18 years of age?

Yes

Are you a United States citizen?

Yes

If no, do you have a valid work permit?

Yes

(Proof of citizenship or immigration status may be required upon employment)

Driver's License/Personal ID

Do you have a valid Driver's License?

Yes

Do you have Auto Insurance?

Yes

Are you applying for a position which will require driving?

Yes

Do you have adequate transportation?

Yes

ID/Driver's License #

State of Issue of ID/Driver's License

Expiration Date of ID/Driver's License

Some positions at DWW require driving and a motor vehicle driving record check will be conducted.

Education

You will be asked to submit documentation of highest level of completed education

Name and Location of High School

# of Years Completed of High School

Graduated High School

Yes

Name and Location of College

# of Years Completed of College

Graduated College

Yes

Major

Name and Location of Other Education

# of Years Completed of Other Education

Graduated Other Education

Yes

Major

Credentials

Yes

If yes, please provide type of credentials

Military

Are you a veteran of the United States military service?

Yes

If yes, what branch?

Date entered

Date discharged

Describe any special skills or training acquired while in the enlisted

Please list your last three (3) work experience beginning with the most recent

Name of Employer

Address of Employer

Dates of Employment

Job Title

Supervisor

Reason for Leaving

Work Performed/Duties

Name of Employer

Address of Employer

Dates of Employment

Job Title

Supervisor

Reason for Leaving

Work Performed/Duties

Dreams With Wings will be performing a background check on all applicants. If you would like to disclose a possible finding please do so here

References

application MUST be returned with (one) 1 completed references. ONLY PROFESSIONAL REFERENCES - SUPERVISOR OR HR DEPT.

Name

Relationship to Applicant

Position

Phone Number of Reference

Email of Reference

Name

Relationship to Applicant

Position

Phone Number of Reference

Email of Reference

Name

Relationship to Applicant

Position

Phone Number of Reference

Email of Reference

I certify that all facts contained in the application are true and complete and acknowledge that Dreams With Wings Inc. is relying on the accuracy of the information provided. I authorize DWW to verify the accuracy of the information provided herein, and I authorize former employer, educational institutions and credit agencies to release information concerning me to DWW. I also authorize DWW Inc. to give references and provide information about me in response to inquires subsequent to my employment if hired. I understand that falsification, misrepresentation, or omission of requested facts may result in denial of employment or, if employed, may result in immediate dismissal. I understand and agree that, if hired, my employment will be for no definite period and may regardless of the date of payment, and wages be terminated at any time without previous notice and without reason at the will of either myself or DWW Inc. I also understand and agree that no one has authority to promise me job security or continued employment, except the Executive Director of the agency in a formal written agreement signed by both of us.

Applicant Signature

Name of Applicant

Today's Date