Employment

Thank you for considering Fairmount Glen for employment. If you are 16 years or older, please fill out the form below, or download the form to print out, fill out, and scan and email to info@fairmountglen.com.

Legal Name(Required)

First Last

Phone(Required)

Email(Required)

Age (If Under 18)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Days Available to Work(Required)

Hours Available to Work(Required)

Months Available to Work(Required)

Desired Weekly Hours(Required)

Have you been convicted of a crime in the past?(Required)

Yes

Education Experience (High School, College, Trade)

Employment History #1

Employment History - Last Job Title

Name of Employer

Job Address

Supervisor

Phone Number

Dates Employed

Pay or Salary

List jobs held, duties performed, skills used or learned, achievements while at this company

Specific reason for leaving

Employment History #2