Course Title Abc
Course Title Abc
Q#01
Employment Application
PERSONAL INFORMATION – PLEASE PRINT ALL INFORMATION
Today’s Date__________________________
Name
Last First Middle Initial Social Security Number
Present Address
Street City State Zip
EMPLOYMENT DESIRED
Position : Summer Student Tech Worker Are You Available June 10-August 20, 2013: YES NO
EDUCATION
Name and Location of School No. of Years Did You Grade Point Average
Attended Graduate?
College ___________________________
QUESTION 1 – Please explain why you would like to work as a West Clermont Tech Worker this coming summer?
QUESTION 2 - Why should West Clermont Schools hire you as a summer worker?
Work
2 Cell
Work
PHYSICAL RECORD: Do you have any physical condition which may limit your ability to perform the job applied for?
Must be able to lift up to 50 pounds. Accommodations can be made for individuals with disabilities. YES* NO
*Explain:
In Case of
Emergency Notify
Name
Name
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of
facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and
may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.
Date Signature
Interviewed By Date:
REMARKS:
Approved: 1. 2.
Technology Coordinator Computer Technician
Q# 02
(a)
Date No. of Assignment
15/01/2019 3
16/02/2019 2
18/03/2019 1
25/04/2019 5
28/05/2019 7
13/06/2019 8
18/07/2019 2
20/08/2019 3
22/09/2019 1
24/10/2019 8
12/11/2019 3
17/12/2019 0
19/01/2020 8
20/02/2020 2
16/03/2020 1
54
Q#02
(b)
Educational
Department Government Private
Government college, Sahiwal 9 8
GC University, Lahore
GC University, Faisalabad
UET Lahore
UET Texila
Medical college, Sahiwal
Medical college, Lahore
Allama Iqbal open university
Quaid-e-Azam University
Comsats University
LUMS University
GIKI University
King Edward College
FC college
Air university
NUST University
UOL