Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Are you at least 18 years old?
*
Do you have the unrestricted right to work in the United States?
*
Will you need the Company's sponsorship to continue extended work authorization status?
*
Have you been a resident of Oklahoma City since March 3, 2021?
*
Position Applying For:
*
<Select>
WellSpring Cleaning Company
The Market at Eastpoint
Eastside Eatery
Other
Are you interested in:
*
What date are you available to start working?
*
MM
DD
YYYY
What days are you available to work?
*
What hours are you available to work?
*
I understand that RestoreOKC, Inc. is a full-time job training program and, apart from extenuating circumstances, I will need to be available daily as discussed with my team manager.
*
If selected for employment, are you willing to submit to a pre-employment drug screening?
*
If selected for employment, are you willing to sign a mental health waiver?
*
High School Name & Location
*
Did you graduate?
*
If you did not graduate, what was the last year that you completed?
Please list any other secondary education schools or programs you attended:
Please list any degrees, certifications or licenses you may have:
Company Names (please list all):
*
Job Title / Titles:
*
Last salary or hourly wage:
*
Reason for leaving or seeking other employment:
*
Duties & Responsibilities at most recent employer:
*
Please list any other skill-related information that might be helpful to us in considering your for employment, such as additional work experience, skills, knowledge, etc.
Faith-Based
I understand that RestoreOKC is a Christian Community Development organization & that while some of the training may reflect that worldview, not holding that view will not impact your employment in anyway.
Name
*
First Name
Last Name
Email
Phone
(###)
###
####
Relationship
Name
First Name
Last Name
Email
Phone
(###)
###
####
Relationship
In the last seven years, other than minor traffic offenses, have you been convicted or plead guilty (including a plea of nolo contendere or no contest) to any criminal offense?
*
If you answered "yes" to the above question, have you spoken with the Director of Restore Jobs to make them aware of the situation?
If not, please make sure they are aware.
Signature
First Name
Last Name
Date
MM
DD
YYYY
