Vocational Training Application

D.I.S.H. Foundation

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D.I.S.H. Foundation

Vocational Training Application

Vocational Training Application

Your Full Name *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Phone Number *

Email Address

Does anyone help you with your schedule? *YesNo

Assistant Name *

Assistant Phone Number *

Assistant Email Address

Emergency Contact Information

Emergency Contact Name *

Emergency Contact Phone Number *

emergency Contact Email Address *

Work Information

What days are you available? (Check all that apply) *

MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Which job skills are you interested in? (Check all that apply) *

Baker/CookCustomer ServiceFood PrepPackagingSoft Skills & CommunicationOther

If Other, please explain *

What kind of experience do you have for the skills you re interested in? Please provide dates, employer, details of experience. *

What are your plans for the next 1-5 years? *

What made you decide to apply to our program(s)? *

Do you have any allergies we should be aware of? *YesNo

Please Explain *

Do you have a history of violent, aggressive, or abusive behavior? *YesNo

Please provide details; including frequency or occurrence and triggers. *

What are some of the biggest challenges you face when seeking employment? *

Are you authorized to work in the United States? *YesNo

Have you ever worked/volunteered for this company before? *YesNo

If yes, please provide dates and postion: *

Have you ever been convicted of a felony? *YesNo

If yes, please explain: *

Education

High School Name *

Dates Attended: *

Have you attend any other educational or job skill training programs? *YesNo

Other Education Program: *

Dates Attended: *

Area of Study *

Have you attend any additional educational or job skill training programs? *YesNo

Other Education Program: *

Dates Attended: *

Area of Study *

Have you attend any additional educational or job skill training programs? *YesNo

Other Education Program: *

Dates Attended: *

Area of Study *

References

Reference #1 Name *

What company do they work for? *

Relationship to you? *

Phone Number *

Email Address

Reference #2 Name *

What company do they work for? *

What is their relationship to you? *

Phone Number *

Email Address

Reference #3 Name *

What company do they work for? *

What is their relationship to you? *

Phone Number *

Email Address

Work Experience

Do you have any work experience? *YesNo

Company you worked for? *

Dates you worked for them? *

Where was the job located? *

Supervisor's Name? *

Phone Number *

Job Duties? *

Reason for leaving? *

May we contact them? *YesNo

Do you have any additional work experience? *YesNo

Company you worked for? *

Dates you worked for them? *

Where was the job located? *

Supervisor's Name? *

Phone Number *

Job Duties? *

Reason for leaving? *

May we contact them? *YesNo

Do you have any additional work experience? *YesNo

Company you worked for? *

Dates you worked for them? *

Where was the job located? *

Supervisor's Name? *

Phone Number *

Job Duties? *

Reason for leaving? *

May we contact them? *YesNo

Disclaimer and eSignature

I certify that my answers are true and complete to the best of my knowledge. *True

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

By checking ACCEPT below, I agree that this represents my electronic signature. *ACCEPT

Your Printed Name *

Would you like to upload/submit your resume too? *YesNo

Upload file *

No file chosen

Contact Info

Suzanne@dishfoundation.net

Bellingham, Washington USA

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