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APPLICATION FOR EMPLOYMENT - convert hourly wage to salary
|Booker T Washington Community Center, Inc. |
|Application For Employment |
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|Please TYPE or PRINT clearly. To be considered for employment, this Application for Employment Form must be completed and signed personally by the applicant. |
|Each question must be answered in full, even if a resume is provided. If an answer is NO or NOT APPLICABLE, indicate such. |
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|We are an Equal Opportunity Employer. We consider all applications for all positions without regard to race, creed, color, religion, gender, national origin, age,|
|sexual orientation, genetic predisposition or carrier status, disability, marital status, pregnancy, veteran status, or any other legally protected class or |
|status. Please notify a company representative if you require a reasonable accommodation to participate in the application and/or interviewing process. |
|BIOGRAPH|Name (First, Middle, Last) |Telephone Number |
|ICAL | |( ) |
|DATA | | |
| |Street Address |
| |City |State Zip Code |
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| |Position Applied For |Salary or Hourly Wage Desired |
| | |$ |
| |Are you Available to Work Full-Time Part-Time Temporary |Date Available to Begin Work |
| |(check all that apply) Day Evening Nights | |
| |Are you 18 years of age or older? | Yes No |
| |Are you currently employed? Yes No | |
| |If yes, may we contact your employer to obtain employment information? |Yes No |
| |Have you ever submitted an application and/or interviewed for employment with our company? | Yes No |
| |If yes, give month and year / | |
| |Have you ever been employed with our company before? | Yes No |
| |If yes, give dates. From / / to / / | |
| |Are you legally eligible for employment in the United States? | Yes No |
| |Employment eligibility will be verified upon employment. | |
| |If you have had an opportunity to review a job description for the position for which you are applying, can you perform the | Yes No |
| |essential functions of this job with or without reasonable accommodation? (check N/A if you have not reviewed a job | |
| |description) |N/A |
|EDUCATIO|Type of School |Name and Location |# of |Did you |Diploma or Degree Obtained | |
|NAL |Attended |of School |Years |Graduate? | |GPA |
|BACKGROU| | |Completed | | | |
|ND | | | | | | |
| |College | | |( ) Yes | | |
| | | | | | | |
| | | | |( ) No | | |
| |Dates Attended |From |To | | | |
|SKILLS |List any additional skills, training, and/or technical/professional knowledge|List any certificates, licenses, or professional achievements that would |
| |that is relevant to the job for which you are applying: |support your qualifications for employment: |
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| |Drivers’ License Identification Number: State of Issuance: |
| |(Provide your driver's license ID number ONLY if it is a requirement of the position for which you are applying) |
|EMPLOYMENT HISTORY Provide employment information, including military service, for the last 15 years, starting with the most recent employer first. If you've held|
|more than three jobs, provide this information on another sheet and attach to this form. |
|Name of Employer |Telephone Number |
| |( ) |
|Address Street City |
|State Zip Code |
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|Employment Dates (Month/Year) |Starting Hourly Wage/Salary Final Hourly Wage/Salary |
|From / to / |$ $ |
|From: To: |Starting: Ending: |
|Job Title of Position(s) |Name and Job Title of Supervisor |
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|Brief description of job duties, responsibilities and significant accomplishments: |
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|Reason for leaving: |
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|Name of Employer |Telephone Number |
| |( ) |
|Address Street City |
|State Zip Code |
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|Employment Dates (Month/Year) |Starting Hourly Wage/Salary Final Hourly Wage/Salary |
|From / to / |$ $ |
|From: To: |Starting: Ending: |
|Job Title of Position(s) |Name and Job Title of Supervisor |
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|Brief description of job duties, responsibilities and significant accomplishments: |
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|Reason for leaving: |
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|Name of Employer |Telephone Number |
| |( ) |
|Address Street City |
|State Zip Code |
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|Employment Dates (Month/Year) |Starting Hourly Wage/Salary Final Hourly Wage/Salary |
|From / to / |$ $ |
|From: To: |Starting: Ending: |
|Job Title of Position(s) |Name and Job Title of Supervisor |
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|Brief description of job duties, responsibilities and significant accomplishments: |
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|Reason for leaving: |
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|REFERENCES List three references other than relatives or former supervisors |
| Name/Occupation Address Telephone # |
|Years Known |
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|CONVICTION RECORD STATUS |
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|All applicants and employees must, as a condition of employment, inform the company of all convictions. This includes all convictions received within the past |
|seven years, while your application for employment is pending, and within seven days of receiving a conviction if currently employed. |
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|Have you been convicted of, and/or plead guilty to, a felony or misdemeanor in the past seven years? Yes No |
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|If you answered ‘yes’ and have been convicted of a felony or misdemeanor, please provide additional information below, such as the crime(s), date(s), court |
|location, sentencing information, disposition of sentence, and rehabilitation completed. Please note that a ‘yes’ answer to this question does not necessarily |
|disqualify an applicant from employment. Factors that will be taken into account include the nature of the conviction as it relates to the job applied for, the |
|amount of time that has elapsed since the conviction and/or completion of sentence, and the seriousness of the offense. The company reserves the right to reject |
|individuals for employment based on job-related convictions. |
|Date of Offense|County and State in which |Conviction/Explanation |Rehabilitation Completed |
| |Offense Occurred | | |
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|PLEASE READ CAREFULLY AND SIGN BELOW |
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|I hereby certify that all of the information I have provided on this Application for Employment Form is true and correct to the best of my knowledge. I understand|
|that any misrepresentation or omission of material facts will disqualify me from further consideration of employment, withdrawal of any offer of employment, or, if|
|employed, termination of employment. |
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|I authorize verification of all of the information I have provided on this Application for Employment Form as well as any additional information needed to consider|
|my application for employment. I further authorize all former employers, educational institutions, references, and other persons who have knowledge of me or my |
|records to provide any and all information pertinent to my employment and release the same from any liability resulting from providing such information. I also |
|release this company and its employees from all liability for any damage that may result from reliance on the information furnished. |
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|If employed, I agree to abide by all policies, procedures, and rules of the company. I understand and agree that, if hired, my employment is for no definite |
|period and may, regardless of the date of payment of my wages or salary, be terminated by myself or the company at any time with or without cause or notice. I |
|further understand that the policies, procedures, rules, and benefits contained in the employee handbook, benefit plans, and other written documents should not be |
|considered an employment contract for any period of time. |
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|Date Signature of Applicant |
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How do I change an employee from hourly to salary? From the Employees menu, select Employee Center. Double click the name of the employee. On the payroll info tab, select Salary. Once done, click on OK.
