Position(s) Applied For

Your Details

Name *

First

Middle

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone *

Alternate Phone

Email *

Upload Your Resume or CV

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If you upload a resume or CV that includes information requested on this form, you may skip that section of the form.

Employment Experience

Enter your present and/or previous employers in reverse chronological order (current or most recent employer listed first). Be sure to account for all periods of time. If you are or have been self-employed, please enter your firm's name and supply business references.

Name of Current or Most Recent Employer

Supervisor Name (Current or Most Recent Employer)

Contact Information (Current or Most Recent Employer)

Address Line 1

Address Line 2

City

State

Zip Code

Phone (Current or Most Recent Employer)

Email (Current or Most Recent Employer)

May we contact your current or most recent employer?

Yes
No

Dates Employed (Current or Most Recent Employer)

Job Title and Duties (Current or Most Recent Employer)

Reason for Leaving Current or Most Recent Employer

Name of Second Most Recent Employer

Supervisor Name (Second Most Recent Employer)

Contact Information (Second Most Recent Employer)

Address Line 1

Address Line 2

City

State

Zip Code

Phone (Second Most Recent Employer)

Email (Second Most Recent Employer)

May we contact your second most recent employer?

Yes
No

Dates Employed (Second Most Recent Employer)

Job Title and Duties (Second Most Recent Employer)

Reason for Leaving Second Most Recent Employer

Name of Third Most Recent Employer

Supervisor Name (Third Most Recent Employer)

Contact Information (Third Most Recent Employer)

Address Line 1

Address Line 2

City

State

Zip Code

Phone (Third Most Recent Employer)

Email (Third Most Recent Employer)

May we contact your third most recent employer?

Yes
No

Dates Employed (Third Most Recent Employer)

Job Title and Duties (Third Most Recent Employer)

Reason for Leaving Third Most Recent Employer

Have you ever been involuntarily terminated or asked to resign from any job?

Yes
No

Please explain:

Other experience, skills, training, languages, technical or professional knowledge, or other qualifications that you believe should be considered in evaluating your qualifications for employment.

Education

If you are including a CV or resume with your application that includes this information, you may skip this section.

High School

College or University

Graduate or Professional School

Trade School

Other

Business and Professional References

List up to three professional references (individuals who are not related to you).

Personal References

List up to three personal references.

General Information

Have you ever submitted an application and/or interviewed for employment with the Threefold Educational Foundation or any of its associated organizations (Green Meadow Waldorf School, Otto Specht School, Eurythmy Spring Valley, Fiber Craft Studio, Pfeiffer Center at Threefold Community Farm, Threefold Cafe, Threefold Pond, Holder House)? *

Yes
No

Have you ever been, or are you currently employed by the Threefold Educational Foundation or any of its associated organizations (Green Meadow Waldorf School, Otto Specht School, Eurythmy Spring Valley, Fiber Craft Studio, Pfeiffer Center at Threefold Community Farm, Threefold Cafe, Threefold Pond, Holder House)? *

Yes
No

On what date are you available to begin work? *

On what basis are you available to work? (Check all that apply.) *

Full time
Part time
Shift work
Temporary

Can you travel if the position requires it? *

Yes
No

Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.) *

Yes
No

If you have had an opportunity to review a job description for the position for which you are applying, are you able to perform the essential job functions of the position with or without reasonable accommodation? (Note: Threefold complies with the ADA and considers reasonable accommodation measures that may be necessary for qualified applicants/employees to perform essential job functions.) *

Yes
No

For Those Selected for Hire

Federal law requires that individuals selected for hire complete an I-9 Form providing satisfactory evidence of their identity and legal authority to work in the United States. All individuals selected for hire by Threefold shall undergo a criminal background check and, pending the results, Threefold's employment offer may be revoked as permissible by New York State law. I hereby certify that my answers to the questions in this application are true and correct to the best of my knowledge. I understand that any omission or misstatement of facts on this application or on any document used to secure employment may disqualify me from further consideration of employment, withdrawal of any offer of employment, or discharge if I am employed, regardless of the time elapsed before discovery. If employed by Threefold Educational Foundation or any of its organizations, I agree to abide by its policies, procedures, rules, and regulations. I understand and agree that, if hired, my employment is for no definite period, and may be terminated by me or by Threefold at any time with or without cause or notice. I further understand that no policy, rule, or benefit contained in Threefold's employee handbook, benefit plans, or other written documents should be considered an employment contract for any period of time.

Submission

BY SUBMITTING THIS FORM, I INDICATE THAT I HAVE READ, UNDERSTAND, AND AGREE TO ALL OF THE ABOVE TERMS.

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