Deer Rehabilitation Services Employment Application
First Name*:
Last Name*:
Email Address*:
What position are you interested in?:CounselorTrainerManagementMaintenanceMentorOther
What is your desired Salary/Hourly rate?*:
Home Address*:
Phone Number*:
Employment History
Employer Name and Address*:
Hourly Rate or Salary*:
Reason for leaving*:
Start Date and End Date*:
Position Title, Duties and Skills required*:
Employer Name and Address*:
Hourly Rate or Salary*:
Reason for leaving*:
Start Date and End Date*:
Position Title, Duties and Skills required*:
Employer Name and Address*:
Hourly Rate or Salary*:
Reason for leaving*:
Start Date and End Date*:
Position Title, Duties and Skills required*:
Education
High School Name and Year of Completion*:
College Name, Field of Study and years Completed or Degree earned*:
Certificate or Licensure Obtained*:
Are you a veteran?*:
List Two References who are not relatives. One should be a former supervisor. Please include their name, address, email address, phone number and number of years they have known you.*:
Please list any other qualifications or special skills that you may have:*:
Please briefly explain why you would like to be a part of the Deer Team and how you would be an asset to the organization.*:
Do you currently have reliable transportation?*:
Do you currently have a State of Illinois Drivers License?*:
Please describe your specific work experience that would make you a good fit for our clients and our company?*:
Information to the applicant...
Please Read*:
Resume*:
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