Employment Application

D.I.S.H. Foundation

Dignity – Independence – Sense of Purpose – Hope

About
Shopping
Join Us!
#GetDISHed
Contact
- Newsletter

About
Shopping
Join Us!
#GetDISHed
Contact
- Newsletter

DONATE NOW

D.I.S.H. Foundation

Employment Application

Full Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone *

Is the phone number above your: *ResidenceCellOther

Email Address *

Does anyone help you with communication (phone, email, etc.)? *YesNo

If yes, please provide their Name, Phone, and Email if available. *

Do you have a history of violent or abusive behavior? *YesNo

If yes, please explain *

Emergency Contact Name *

Emergency Contact Relation to You *

Emergency Contact Phone *

Emergency Contact Email

Which days of the week are you available? (check all that apply) *

SundayMondayTuedsayWednesdayThursdayFridaySaturday

How many hours per week are you available? *

Check position(s) are you applying for?

BakerFood PrepBaristaCashierPackagingCheck all that apply

What kind of experience do you have for the position you are applying for? Provide dates, employer, details of experience: *

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

Have you ever worked/volunteered for this company before? *YesNo

Are you currently enrolled or have you completed any of the DISH Foundation’s Vocational Training Program (VTP) courses? *YesNo

If yes, which one(s)? *

If yes, please provide dates and position: *

Have you ever been convicted of a felony? *YesNo

If yes, please explain: *

Education

Did you graduate high school? *YesNo

If yes, Name of School and the Year you Graduated: *

Did you attend any other education or job skills programs after high school? *YesNoE.g. Technical College, Community College, University

If yes, Name of School, Dates Attended and Area of Study *

Did you earn a degree? *YesNo

If yes, what degree? *

Did you attend any other education or job skills programs not listed? *YesNo

If yes, Name of School, Dates Attended and Area of Study *

Did you earn a degree? *YesNo

If yes, what degree? *

Did you attend any other education or job skills programs not listed? *YesNo

If yes, Name of School, Dates Attended and Area of Study *

Did you earn a degree? *YesNo

If yes, what degree? *

Did you attend any other education or job skills programs not listed? *YesNo

If yes, Name of School, Dates Attended and Area of Study *

Did you earn a degree? *YesNo

If yes, what degree? *

References

Please provide information for three non-related references.

Reference #1

Reference #1 Name *

Reference #1 Company

Reference #1 Email Address *

Reference #1 Phone *

Reference #1 relationship to you: *

Reference #2

Reference #2 Name *

Reference #2 Company

Reference #2 Email Address *

Reference #2 Phone *

Reference #2 relationship to you: *

Reference #3

Reference #3 Name *

Reference #3 Company

Reference #3 Email Address *

Reference #3 Phone *

Reference #3 relationship to you: *

Experience/Work History

Most Recent First

Date(s) Worked *

Company *

Location *

Supervisor *

Phone *

Title *

Job Duties *

Reason for Leaving *

May we contact them? *

YesNo

Date(s) Worked *

Company *

Location *

Supervisor *

Phone *

Title *

Job Duties *

Reason for Leaving *

May we contact them? *

YesNo

Date(s) Worked *

Company *

Location *

Supervisor *

Phone *

Title *

Job Duties *

Reason for Leaving *

May we contact them? *

YesNo

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. *

Yes

By checking ACCEPT below, I agree that this represents my electronic signature. *ACCEPT

Your Printed Name *

Would you like to upload your resume now? *YesNo

Upload file *

No file chosen

Contact Info

Suzanne@dishfoundation.net

Bellingham, Washington USA

Newsletter Sign up

Get the latest news & updates with our newsletter