PACTT Employment Application

Name *
Name
Address
Address
Phone *
Phone
Which PACTT program(s) are you applying for? *
Seeking Full-Time *
Seeking Part-Time *
If current/previous PACTT employee, please list his/her name.
Please write a brief statement (3 or 4 sentences with attention to spelling and grammar) explaining your interest in working for PACTT.
Have you been previously employed with PACTT? *
If Yes, please list position and dates.
May we contact your current employer? *
If no, please explain below.
Have you ever been terminated or asked to resign? *
If yes, please provide details.
Hiring may be subject to verification of legal employment age.
(Employment is subject to verification of U.S. citizenship or authorized alien status in accordance with the Immigration and Control Act of 1986)
(Employment History #1)
Employment History #1
employment history #1
Employment History #1
Please list all relevant work experience. Include: Name of Employer, Supervisor, Type of Business, Telephone #, Address, Position and Duties, Pay Rate, Dates of Employment, and reason for leaving
Employment History #2
employment history #2
employment history #2
employment history #2
Please list all relevant work experience. Include: Name of Employer, Supervisor, Type of Business, Telephone #, Address, Position and Duties, Pay Rate, Dates of Employment, and reason for leaving
employment history #3
employment history #3
employment history #3
employment history #3
Days Available *
Hours Available *
Do you have a valid state drivers license? *
Have you had more than 2 moving violations in the last 5 years? *
What is your highest level of education completed?
Name & Address
Please list names, addresses, dates of attendance, and degree(s) completed
List below three people, not related to you, whom you have known for at least one year. Include contact phone #.
Applicant acknowledgement: *
In consideration of the acceptance and processing of m application for employment, and of my employment with PACTT Learning Center, if I am employed, I hereby warrant and represent as follows: Certification. I certify that I have not knowingly withheld any information that might adversely affect my chances for employment with PACTT and that the information given by me is true and correct without any mental reservation whatsoever. I understand that any omission or misstatement of material fact on my employment application, resume, or any other document used to secure employment with PACTT, or during any pre-employment interview, shall be grounds for rejection of my application or for immediate discharge if I am hired, regardless of the time elapsed before discovery. Reference and Background Check. I authorize PACTT to thoroughly investigate my references, work record, education, and any other matters related to my suitability for employment. I also authorize my former employers to disclose to PACTT any and all of my employment records, including disciplinary reports and letters of reprimand, without giving me notice of such disclosure. I hereby fully release and discharge PACTT, my former employers, their respective officers, employees and agents, and all other persons and entities, from any and all claims, demands, and liabilities arising out of or in any way related to such investigation or disclosure. At-Will Employment. I understand and agree that if I am hired; my employment and compensation are for no definite or determinable period and may be terminated at any time, with or without cause, warning or notice, at the option of either myself or PACTT. I further understand and agree that no representative of PACTT is authorized to make any binding representations or agreements, whether oral or written, contrary to the foregoing or purported to guarantee any particular benefits, terms, or conditions of employment.