Day Share Application for Employment

 
We Are An Equal Opportunity Employer.

www.DayShare.com

I certify that answers given herein are true and complete to the best of my knowledge. I authorize you to make such investigations and inquires of my personal, employment, financial or medical history and other related matters as my be necessary in arriving at an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries in connection with my application. 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 Day Share Senior Services.

 
 
Name
 
 
 
Address
 
Phone
 
Email
 
Position applying for
 
Do you have reliable transportation
 
Are you a citizen of the United States
 
 
 
If you are not a citizen of this country what is your status
 
 
 
EDUCATION
 
 
 
PREVIOUS EMPLOYMENT
 
 
 
REFERENCES
 
 
 
Summarize special skills and qualifications
 
 
 
Do you have a criminal record
 
 
 
Who may we contact in the event of an emergency