Careers – Peoples Development Services

PDS Job Application

Position Applying for*

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First Name

Last Name

Preferred name:

Address*

Address line one

State

Zipe Code

Phone

Contact Email Address

Current qualifications(Qualification title,Institution/training provider,Year completed)*

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Are you currently undertaking study/training? (tick one)*

Yes

course/program name*

Full Time

Part Time

Distance

Other

Languages Spoken(Native Language, Second Language, Third Language, Fourth Language)*

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Previous employment (most recent first)*

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Do you agree to have references contacted in relation to this application? (tick one)*

Yes

Please provide details of three people who can speak on your behalf regarding your work history.(Name, Contact No., Position held/working relationship (e.g. supervisor), Office use check initial/date)

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What type of work are you available for? (tick one)*

Full Time

Part Time

Casual

When will you be available for work?*

Date ×

Please provide any other information that you identify as being pertinent to this application (e.g. medical conditions, disabilities)

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Signature

Declaration

I declare that, to the best of my knowledge, the information given is true and correct. I understand that inaccurate, misleading or untrue statements or knowingly withheld information may result in termination of employment with this organisation. I understand that this application does not constitute an offer of employment. I understand that, in some cases, police and credit checks will be required and I will be notified if this applies to this application.

612 332 9124

contact@pdsminn.org

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PDS Job Application

Signature

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Information

612 332 9124

contact@pdsminn.org

665 Snelling Ave N Saint Paul MN 55104