Oceania Employment Application
Items marked with an asterisk (*) are required elements.
PERSONAL INFORMATION
F
irst Name*:
Middle
I
nitial:
L
ast Name*:
S
ocial Security Number*:
Street
A
ddress*:
C
ity*:
S
t
ate Abbreviation*:
NY
VT
CT
MA
PA
Z
ip*:
Telep
h
one*:
Position Sought*:
Select a position from the list
Worker - $10 per hour, 40 hrs. per week
Supervisor - $15 per hour, 35 hrs. per week
Manager - $20 per hour, 30 hrs. per week
Experience*?
Yes
No
WORK HISTORY
Previous E
m
ployer*:
Employer's Telephone
N
umber*:
Supervis
o
r*:
Position
H
eld*:
Dates
W
orked*:
Reason for
L
eaving*:
Why did you leave?
