Employment Application Employment Application Applicant Information Name * First * Last Address Line 1 * Address Line 2 City * State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY ZIP * Phone * Email * Position applied for * How did you hear about this position? Type of employment desired * Full-time Part-time Weekday availability (check all that apply) * Morning Afternoon Evening No weekday availability Weekend availability (check all that apply) * Morning Afternoon Evening No weekend availability Earliest available start date * Are you a U.S. citizen? * Yes No Are you authorized to work in the U.S.? Yes No Are you fully vaccinated against COVID-19? Yes No Have you ever applied to work for the APA? * Yes No When? Have you ever worked or volunteered for the APA? * Yes No When? Do any of your friends or family work at the APA? * Yes No Who? * Are you capable of performing, with or without reasonable accommodation, the essential duties of the position for which you are applying? * Yes No Are you at least 18 years of age? * Yes No Have you ever been convicted of a felony? * Yes No Please explain. * Education & employment * I will upload a resume that includes my education and employment history I would like to enter that information here Education What is the highest level of education you have completed? * Some high school Graduated high school or GED Some college Associates degree Bachelors degree Masters degree Doctoral or professional degree High School High school * Location * College/Undergraduate College Location Major(s) Degree(s) Graduate Studies College Location Degree(s) Doctorate or professional degree College Location Degree(s) Previous Employment Company Location Phone Supervisor Job title Please describe your responsibilities Are you currently in this position? Yes No Start date End date Reason for leaving May we contact the supervisor listed above for a reference? Yes No I would like to add another employment record Previous Employment (cont.) Company Location Phone Supervisor Job title Please describe your responsibilities Are you currently in this position? Yes No Start date End date Reason for leaving May we contact the supervisor listed above for a reference? Yes No I would like to add another employment record Have you served in the military? Yes No Military Service Are you currently in the military? * Yes No, I am a veteran Branch * Service start date * Discharge date * Rank * Discharge type * Reason for discharge What else would you like us to know? This section is optional, but you may use it to tell us more about you or clarify anything you entered above. Please upload your cover letter and/or resume. * Drop file(s) here, or click to upload Choose File Maximum file size: 2MB Max of 2 files. Accepted formats: .pdf, .doc, .docx, .rtf I would like to receive periodic email updates from the APA. Captcha If you are human, leave this field blank. SUBMIT
