Programs Assistant – Learning and Engagement

Name *

First

Last *

Last

Email *

Home Phone

Mobile Phone

Address *

Address

City

State/Province

Zip/Postal

Country

Position you are applying for:

Are you 18 years or older?

Yes

No

Are you either a U.S. Citizen or an alien authorized to work in the U.S.?

Yes

No

I understand that if under 16, I must have a work permit on file in the NEH Human Resources Office before starting work:

Yes

No

Have you ever been convicted of a felony?

Yes

No

If you have been convicted of a felony, please explain

Employment Desired *

Full-time

Part-time

Full- or Part- time

Salary desired

Date you can start

EDUCATION

High School attended

Number of years attended

Address

Major or Degree

College, Business, or Trade School

Number of years attended

Address

Major or Degree

Professional School

Number of years attended

Address

Major or Degree

Other

Number of years attended

Address

Major or Degree

Subject(s) of special study or research work

US Military or Naval service

Rank

Present Membership in National Guard or Reserves

EMPLOYMENT EXPERIENCE

Name of employer

Name of last supervisor

Dates of employment (from-to)

Complete address

Phone

Last job title

Reason for leaving (please be specific)

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:

Name of employer

Name of last supervisor

Dates of employment (from-to)

Complete address

Phone

Last job title

Reason for leaving (please be specific)

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:

Name of employer

Name of last supervisor

Dates of employment

Complete address

Phone

Last job title

Reason for leaving (please be specific)

List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:

PLEASE LIST TWO REFERENCES

Name

Position

Company

Phone

Name

Position

Company

Phone

Please add any additional information necessary to describe your full qualifications for the position which you are applying

Feel free to upload your resume

Maximum upload size: 5MB

Initial and Date

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I understand that reference verification may include, but is not limited to verification of education, employment, profeessional licenser, personal references, motor vehicle check, and criminal background check, and release all parties from all liability for any damage that may result from furnishing same to you. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice and without cause.