Please fill out all the application below:

Applicant Information Applicant Information

First Name

Last Name

City, State, Zip

Phone

Email Address

Employment Position Employment Position

Position Applying for?

How did you hear about this position?

Do you have reliable transportation?

Salary Desired?

Personal Information Personal Information

Have you applied at YouTurn before? Have you applied at YouTurn before? Yes No

If yes, when?

Do you have any friends, relatives, or acquaintances working for YouTurn or currently sitting on YouTurn’s Board of Directors? Do you have any friends, relatives, or acquaintances working for YouTurn or currently sitting on YouTurn’s Board of Directors? Yes No

If yes, state name and relationship.

Are you 18 years of age or older? Are you 18 years of age or older? Yes No

Are you a U.S. citizen or approved to work in the United States? Are you a U.S. citizen or approved to work in the United States? Yes No

Do you have a valid Driver’s License and Insurance? Do you have a valid Driver’s License and Insurance? Yes No

What document can you provide as proof of citizenship or legal status?

Will you consent to a mandatory controlled substance test? Will you consent to a mandatory controlled substance test? Yes No

Do you have any condition which would require job accommodations? Do you have any condition which would require job accommodations? Yes No

If yes, please describe accommodations required below.

Have you ever been convicted of a criminal offense (felony or misdemeanor)? Have you ever been convicted of a criminal offense (felony or misdemeanor)? Yes No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case.

Will you consent to a background check? Yes No Will you consent to a background check? Yes No Yes No

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.) (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

Job Skills/Qualifications Job Skills/Qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:

(Note: YouTurn complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.) (Note: YouTurn complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Education and Training Education and Training

High School High School

High School Name

City and State

Year Graduated

Degree Earned

College/University College/University

College Name

City and State

Year Graduated

Degree Earned

Vocational School/Specialized Training Vocational School/Specialized Training

Vocation School/Specialized Training Name

City and State

Year Graduated

Degree Earned

Military Military

Are you a member of the Armed Services? Are you a member of the Armed Services? Yes No

What was your military rank when discharged?

What branch of the military did you enlist?

How many years did you serve in the military?

Supervisor Name

What military skills do you possess that would be an asset for this position?

Previous Employment Previous Employment

Employer 1 Employer 1

Employer Name:

Supervisors Name

Employer Telephone

Employer Address

City, State and Zip Code

Dates Employed

Job Title

Reason for leaving

Employer 2 Employer 2

Employer Name:

Supervisor Name

Employer Telephone

Employer Address

City, State and Zip Code

Job Title

Dates Employed

Reason for leaving

Employer 3 Employer 3

Employer Name:

Supervisor Name

Employer Telephone

Employer Address

City, State and Zip Code

Job Title

Dates Employed

Reason for leaving

References References

Please provide (2) personal and (2) professional reference(s) below: Please provide (2) personal and (2) professional reference(s) below:

Personal Reference

Contact Information

Personal Reference

Contact Information

Professional Reference

Contact Information

Professional Reference

Contact Information

Additional Information Additional Information

Ending Salary from Previous Employer

AT-WILL EMPLOYMENT AT-WILL EMPLOYMENT

The relationship between you and YouTurn is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the YouTurn. No representative of YouTurn has authority to enter any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either YouTurn Executive Director. The relationship between you and YouTurn is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the YouTurn. No representative of YouTurn has authority to enter any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either YouTurn Executive Director. I agree