Online Application Form

PLEASE TYPE OR PRINT.  Complete the entire application.  You must complete all questions, or your application will be deemed incomplete and may not be considered.

 

First Name:
Middle Name:
Last Name:
   
City:
State:
Zip:
Street Address:
Home Phone:
Work Phone:
Other Phone:
eMail Address:

Have you had Formal Call Center Training?

 Yes No  

Are you eligible to work

in the United States?

 

Yes     No

 

Are you 18 years of age

or older?

 

Yes     No

If NO,   what is your current age?

Are you currently employed?

Yes     No

If yes, what company?

 

Have you lost your job in the past 5 years due to company closing or layoff?

 Yes    No

If yes, what company?

   

 

Race?

White (non Hispanic)

African American 

Hispanic 

Native American

Other

Sex:

Male   

Female

EDUCATION COMPLETED

High School Diploma

GED 

Some College

Associates Degree

Bachelors Degree

Graduate Degree

Other credentials/ licenses/ professional affiliations, etc., which are relevant to the job(s) for which you are applying.

If required for position, do you have a valid driver’s license?

  Yes    No

 

How did you learn about this Job Fair?   Check all that apply:     

Ad in newspaper   Job Bulletin (Posting) /Walk-in  Internet         ECS    Church   Radio/Television  Other:       

 

SKILLS:  Please list technical skills, clerical skills, trade skills, etc., relevant to this position.  Include relevant computer systems and  software packages of which you have a working knowledge, and note your level of proficiency (basic, intermediate, expert)

 

How we can help-

        I need a resume or need advice on my current resume.

        I have difficulty interviewing.

        I would like to learn more about how my interests and work characteristics fit into the local labor market.

        I would like an assessment of my current skill levels in order to communicate with future employers.

        I am interested in returning to training to improve my skills in order to find a job.

        Other:       

 

   
Please identify things you feel are challenges to your work search.

        A criminal record.

        Lack of education, training, or occupational skills.

        Transportation issues.

        Low household income.

        Being fired from a job in the past.

        Large gaps in employment history.

        Other:       

 

 

      

Applicant Signature: Date:




"Hereby grant permission to the Lancaster County Workforce Action Team to share information regarding my workforce profile and work history. This information will be used for the purpose of tracking services provided, documenting training and identifying employment progress of customers of the county. This information will be held in strict confidence and individual data will not be shared outside the workforce providers".


Yes NO