Contact Info

Abbreviated Application for Employment.

If you are interested in working for us, please provide the following information.

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
 Phone
FAX
E-mail

Enter today's date :  

Are you legal to work in the USA? 

Do you have a legal driver's license?  

Do you have access to an automobile? 

Are you currently employed?  

Number of hours a week you are available to work:  

Date you can begin employment:      

Please give a brief overview of your experience.  Describe education, training, employment, and volunteer work.  Also list your reasons for applying with Social Service Solutions.


  

If you are considered for an interview you will be required to complete a full application.  By submitting this brief application you declare that all of the information is true.  Social Service Solutions will verify all the information that you provide to us in the application process.  Candidates/employees who provide false information may be subject to discharge.

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Copyright © 2002 [Social Service Solutions ]. All rights reserved.
Revised: 03/15/04