PAAC Employment Application - PAAC: Partnership of African American Churches

Applicant Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

How Long at Current Address?

Phone *

Email *

Position Applied For: *

Is current resume on file? (Resume required for all administrative positions.)

Yes
No

NOTE: If you select "No", you will be prompted to upload your resume.

Upload Resume

Click or drag a file to this area to upload.

50mb limit. File formats allowed: .doc, .docx, .pdf

Have you ever been convicted of a crime?

No
Yes

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

Do you have a valid driver's license?

Yes
No

What is your means of transportation to work?

Have you had any accidents during the past 3 years?

Yes
No

How many?

Have you had any moving violations during the past 3 years?

Yes
No

How many?

Education

Type of School

High School
College
Business or Trade School

High School Information

Name of High School

Location of High School

Complete mailing address

Number of Years Completed

Major & Degree

College Information

Name of College

Location of College

Complete mailing address

Number of Years Completed

Major & Degree

Business or Trade School Information

Name of Business or Trade School

Location of Business or Trade School

Complete mailing address

Number of Years Completed

Major & Degree

Please list 2 references other than relatives or previous employers:

Name (Reference #1) *

First

Last

Relationship

Company

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Name (Reference #2) *

First

Last

Relationship

Company

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Work Experience

Please list your current employer and work experience for the past two years beginning with your most recent job held. If you were self-employed, give firm name.

Name of Employer 1

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Your last job title

Name of Last Supervisor

Dates Employed

Pay or Salary

Include starting and final.

May we contact your present employer?

Yes
No

If past position, reason for leaving (be specific).

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Name of Employer 2

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Your last job title

Name of Last Supervisor

Dates Employed

Pay or Salary

Include starting and final.

If past position, reason for leaving (be specific).

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying. COMPLETE ONLY IF NO RESUME ON FILE.

Applicant SIgnature *

Clear Signature