Employment Application


You must be at least 18 years old to apply.

All fields are required. Use NA, if not applicable.

Date: (click on field for calendar)

Applicant Name:

Street Address:

City & State:   Zip Code:

Primary Phone: Cell Phone:

Email that you regularly check:

Position(s) Applying for?

Date Available:

Desired Number of Hours Each Week:

Are you available for the hours posted in the job description? Yes No

Desired Hourly Pay:

How did you hear about us?

Why would you like to work with us?

Have you ever been convicted of a felony? Yes No

If YES, please describe the offense(s) for which you were convicted.

Education

Have you attended or are you attending high school ? Yes No

If YES, name of high school:

Have you graduated? Yes No

Are you attending, or have you attended, college or a trade training program? Yes No

If YES, name of school and program and number of years attended:

Have you graduated from college or training? Yes No

Most Recent Employment

(We may need to ask for additional employment history.)

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Pay:   Ending Pay:

Responsibilities:

Dates of Most Recent Employment:   From:  To:

Reason for Leaving Most Recent Employment:

May we contact your most recent supervisor for a reference? Yes No

References

If you are called to an interview with us, please bring at least one work-related reference. Thanks!

Transportation

Do you have a valid driver’s license that allows you to drive in Ohio? Yes No

We are located at 8834 Carey Lane, Pleasant Plain, OH.

How will you get to & from our facility each working day?

Disclaimer and Signature

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my termination.

I certify that my answers are true and complete to the best of my knowledge by typing "YES" in the following box:

Input text from image below:


Please click the Submit button only once. It takes a few seconds for the form to be processed.

The following things will happen next:

1. You Will See a Thank You Page.

If you have completed all required fields, once you click Submit, you will see a Thank You page. If you have not completed all required fields, you will be asked to complete the required fields before the form can be submitted and you see the Thank You page.

2. You Should Receive an Auto-Response Email.

If you have completed all required fields, once you click Submit, you and Circle Tail will be sent an auto-response email containing the information you supplied for the form. If you do not receive the email, please click the back button on your browser and make sure your email address is correct and click the Submit button again. Also check your spam or junk mail folder.

Circle Tail, Inc.
8834 Carey Lane
Pleasant Plain, OH 45162
Email: admin@circletail.org