Job Opportunities

What type of employment are you seeking? (Check All That Apply) *

EMPLOYMENT: Be sure all your experience or employers related to this job are listed here, in the summary following this section or on an extra sheet of paper if necessary.
List most recent employment first to include summer or temporary jobs.

Employer Name & Address, Supervisor Name & Phone #, Position/duties/skills, Start Date & End Date, Reason for Leaving *

High School Name, Years Completed, Field of Study, Graduate or Degree Program Name *

College/University Name, Years Completed, Field of Study, Graduate or Degree Program Name *

Business/Technical Name, Years Completed, Field of Study, Graduate or Degree Program Name *

Other, Years Completed, Field of Study, Graduate or Degree Program Name *

SKILLS & QUALIFICATIONS

Professional licenses, certifications or registrations: *

Types of computers, software, and other equipment you are qualified to operate or repair: *

Primary Language: Please indicate if you Read, Write and/or Speak *

Other Language: Please indicate if your Read, Write, and/or Speak *

REFERENCES
List three professional references who are not relatives and who can attest to your skills and abilities,
with their Name, Email and/or Phone #:

As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test. I understand and agree to the information shown above.

Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no effect on your application for employment.

employment_application_maine_fillable_32422.pdf
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