Oceania Employment Application
Items in
red
are required elements.
First Name:
Middle
Initial:
Last Name:
Social Security Number:
Phone Number:
—
—
Street Address:
City:
State:
Zip:
Position Sought:
Experience?
Worker - $10 per hour, 40 hrs. per week
Supervisor - $15 per hour, 35 hrs. per week
Manager - $20 per hour, 30 hrs. per week
Yes
No
LAST EMPLOYMENT
Employer:
Employer's Telephone Number:
Supervisor:
Position Held:
Dates:
Reason for Leaving:
