EMPLOYMENT APPLICATION, Page Two
Are you currently employed? Yes No If “YES”, may we contact your current employer? Yes No
Do any of your family members or friends work for GLAD? If YES, state name, relationship and location
Have you ever filed an application with GLAD before? Yes No
If YES, give date(s)
Have you ever been employed by GLAD? Yes No
If “YES”, what department or regional office?
If you were previously employed by GLAD under another name, please state other name(s):
6. If you are under 18 years of age, can you provide required proof of your eligibility to work? Yes No
7. Please check the type(s) of work you will accept: Regular, Full-time Regular, Part-time
Date available for work //
What is your desired salary range?
Are you currently in lay-off status and subject to recall? Yes No
Can you travel if the job requires it? Yes No
12. Are you a college graduate? Yes No If “NO”, have you taken any college courses: Please list courses
Are you a high school graduate? Yes No If “NO”, have you taken a G.E.D. test?
Yes No (Attach a copy of G.E.D. scores to application)
(Attach a copy of G.E.D. scores tpplication) School
Name and Address of School
Course of Study
List Degree Earned