Employee Application

Below is our employee application form.

Name

Phone Number:

Email

Address

City

State

Zip Code

Position Applied for:

Expected Pay

Would you accept full-time work?

Yes No

Would you accept part-time work?

Yes No

On what date would you be available for work?

Have you ever been employed at Anchor House before?

Yes No

If you have been employed at Anchor House, please list approximate dates.

Special training or skills (languages, machine operation, etc.) that would be of special benefit in the job for which you are applying

Are you legally eligible for employment in the United States (if yes, you will need to submit proof)?

Yes No

Are you of legal age to work in the United States?

Yes No