Administrative Assistant Application Helpful tip: A resume and cover letter are required with this application. Please review this form and ensure you have all the information needed to complete it before starting as you cannot save your progress. Applicant Information Last Name (required) First Name (required) Middle Name Address (required) City (required) Zip Code (required) Email (required) Phone Number (required) Are you 18 years of age or older? (required) Yes No Have you applied here before? (required) Yes No Work Authorization Are you legally authorized to work in the U.S? (required) Yes No Will you now or in the future require employer sponsorship for a work visa or permit? (required) Yes No Criminal History Have you ever been convicted of a felony? (required) Yes No If yes, please explain Driver License Information Do you have a valid driver's license? (required) Yes No Education and Training Do you have a high school diploma or GED? (required) Yes No High School Did you attend college or technical school? (required) Yes No College/Trade School Subject/Major Did you graduate? Yes No Work History - Please list your three most recent jobs. If a field is not applicable, write N/A. Employer 1 Employer Name (required) Supervisor's Name (required) Address (required) Phone Number (required) Job Title (required) Dates Employed (required) Working Hours (required) May we contact Employer? (required) Yes No Specific Duties (required) Employer 2 Employer Name Supervisor's Name Address Phone Number Job Title Dates Employed Working Hours May we contact Employer? Yes No Specific Duties Employer 3 Employer Name Supervisor's Name Address Phone Number Job Title Dates Employed Working Hours May we contact Employer? Yes No Specific Duties Military Service (if applicable) Branch of Service Duty Status Active Veteran Reseve References (Please list 3, not related to you) Reference 1 Name (required) Email (required) Phone Number (required) How do you know this person? (required) Reference 2 Name (required) Email (required) Phone Number (required) How do you know this person? (required) Reference 3 Name (required) Email (required) Phone Number (required) How do you know this person? (required) Additional Document Uploads (16MB max per file) Resume (required) Cover Letter (required) Other Documents I certify that my answers are true and complete to the best of my knowledge. I understand that if this application leads to employment that any false or misleading information in my application or interview may result in my immediate termination. Your Signature (required) Confirm e-Signature Review Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signatures There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
