Application for Employment

Lewis RV Center is currently accepting creative and hard working applicants to fill a number of available positions.

To ensure proper consideration, please fill in the information below as completely and accurately as possible.

Programs, services and employment are equally available to everyone. Please inform the Human Resorces Department if you requir reasonable accommodation for the application or interview.

Personal Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Postal Code *

Phone *

Email Address *

Position Applying For *

Date Available to Start * +

Social Security Number

Salary Requirements *

Driver license number (if applicable to position) *

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

Yes

Have you ever been convicted of a felony? *

Yes

If yes, give dates and details

Availability

Employment History

Employer

Address

Phone

From (MM/YYYY)

To (MM/YYYY)

Position

Salary

Supervisor/Manager

Reason for Leaving

Employer

Address

Phone

From (MM/YYYY)

To (MM/YYYY)

Position

Salary

Supervisor/Manager

Reason for Leaving

Employer

Address

Phone

From (MM/YYYY)

To (MM/YYYY)

Position

Salary

Supervisor/Manager

Reason for Leaving

References

Name

Title

Phone

Email Address

Name

Title

Phone

Email Address

Name

Title

Phone

Email Address

Additional Skills

Typing Speed (words per minute)

List any additional skills that you would like to mention.

Please submit a copy of your resume.

By submitting this form I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related mattes as may be necessary for an employment decision. I hereby release employers or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

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Signature of Applicant *

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