apply today.PLEASE FILL OUT AND SUBMIT THE FORM BELOW Name * First Name Last Name Today's Date * MM DD YYYY Phone * (###) ### #### Email * Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country You must be 14 years of age or older to work at MADRE. Do you meet this requirement? * Yes No How did you hear about us? * What date can you start? * How many hours/week would you ideally like to work? * Do you have reliable transportation to get to work? * Yes No Do you have any scheduling requirements/times when you are absolutely unavailable? * Do you expect any drastic changes to your schedule in the next 6 months? If so, please elaborate. * Are you looking for long-term employment If not, how long do think you’d stay with us? Do you have plans to leave town for any reason for more than a week in the next 2-3 months? * Please provide information for up to three past employers. This is my first job Employer #1 PLEASE INCLUDE THE FOLLOWING INFORMATION: Contact person and their position - Phone number for contact person - Starting Position - Leaving Position - Starting Pay - Leaving Pay - Duration of Employment - Reason for leaving Employer #2 PLEASE INCLUDE THE FOLLOWING INFORMATION: Contact person and their position - Phone number for contact person - Starting Position - Leaving Position - Starting Pay - Leaving Pay - Duration of Employment - Reason for leaving Employer #3 PLEASE INCLUDE THE FOLLOWING INFORMATION: Contact person and their position - Phone number for contact person - Starting Position - Leaving Position - Starting Pay - Leaving Pay - Duration of Employment - Reason for leaving Personal Reference #1 * Please provide their relation to you and their phone number Personal Reference #2 * Please provide their relation to you and their phone number Personal Reference #3 * Please provide their relation to you and their phone number Why do you want to work at MADRE? * Please provide any other information you'd like us to know Thank you!
