Employment Application – Al-Wali Academy

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EMPLOYMENT / JOB APPLICATION

Required Field *

PERSONAL INFORMATION

First Name

Middle Name

Last Name

Address

City

State

Zip Code

Email

Phone Number

Date Available to Start

Desired Pay

Pay Type

Hourly Salary

Employment Desired

Full-Time Part-Time Seasonal

Position Applied For

EMPLOYMENT ELIGIBILITY

Are you legally eligible to work in the U.S

Yes No

Have you ever been convicted of a felony?

Yes No

IF YES, PLEASE EXPLAIN

EDUCATION

High School Name

City / State

Country

Attended From

To

Graduate

Yes No

Diploma

College Name

City / State

Country

Attended From

To

Graduate

Yes No

Diploma

Other Education

City / State

Country

Attended From

To

Graduate

Yes No

Diploma

Other Education

City / State

Country

Attended From

To

Graduate

Yes No

Diploma

PREVIOUS EMPLOYMENT

EMPLOYER 1:

Employer Name

Employer Email

Phone

Address

Starting Pay

PayType

Hourly Salary

Ending Pay

PayType

Hourly Salary

Dates Employed

Job Title

Reason for Leaving

May we contact this previous employer/ supervisor for a reference?

YES NO

EMPLOYER 2:

Employer Name

Employer Email

Phone

Address

Starting Pay

PayType

Hourly Salary

Ending Pay

PayType

Hourly Salary

Dates Employed

Job Title

Reason for Leaving

May we contact this previous employer/ supervisor for a reference?

YES NO

EMPLOYER 3:

Employer Name

Employer Email

Phone

Address

Starting Pay

PayType

Hourly Salary

Ending Pay

PayType

Hourly Salary

Dates Employed

Job Title

Reason for Leaving

May we contact this previous employer/ supervisor for a reference?

YES NO

REFERENCES (PROFESSIONAL ONLY)

Reference 1:

First Name

Last Name

Relationship

School / Company

Title

Email

Phone

Reference 2:

First Name

Last Name

Relationship

School / Company

Title

Email

Phone

Reference 3:

First Name

Last Name

Relationship

School / Company

Title

Email

Phone

Upload CV and Cover Letter

Attach CV

Attach Cover Letter

BACKGROUND CHECK CONSENT

IF ASKED, ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK?

YES NO

DISCLAIMER

Applicant understands that Al Wali Academy is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered.

Please complete each section EVEN IF you decide to attach a resume.

Applicant Consent

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.

Applicant Name

Date

Al-WALI ACADEMY

10 Olsen Ave, Edison, NJ 08820
Ph: 908-652-9181 | email: administration@alwaliacademy.org

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