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WHO WE ARE
OUR PURPOSE
OUR LEADERSHIP
VOLUNTEERS
OUR SUPPORTERS
More than Coffee
Our Coffee Houses
Events
Donate
Home
YOUNG ADULT SUCCESS
WHO WE ARE
OUR PURPOSE
OUR LEADERSHIP
VOLUNTEERS
OUR SUPPORTERS
More than Coffee
Our Coffee Houses
Events
COMMUNITY UPLIFT PARTNERSHIP EMPLOYMENT
Community Uplift Partnership Employment Application
Interested in working at Community Uplift Partnership? Complete the application below.
Community Uplift Partnership Employment Application
If you are a human and are seeing this field, please leave it blank.
Fields marked with an
*
are required
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip / Post Code
*
Phone
*
Email
Have you ever been convicted of a felony?
*
No
Yes
If yes, please explain:
What is your highest level of education?
*
Currently in high school or obtaining GED/HSE
High School/GED/HSE
Some College
Trade School Certificate
Associates Degree
Current Place of Employment
Current Place of Employment Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip / Post Code
Supervisor Phone
Number of years at current place of employment
May we contact your current place of employment?
*
No
Yes
Previous Place of Employment
Supervisor's First Name
Supervisor's Last Name
Address of Previous Employment
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip / Post Code
Supervisor's Phone
Number of years at this place of employment
Previous Place of Employment (if less than 5 years in previous employment above)
Address of previous employment
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip / Post Code
Supervisor's First Name
Supervisor's Last Name
Supervisor's Phone
Number of years employed here
First Name of Reference 1
*
Last Name of Reference 1
*
Relationship to you
*
Reference 1 Phone
*
First Name of Reference 2
Last Name of Reference 2
Relationship to you
Reference 2 Phone
List the skills you could bring to Community Uplift Partnership.
*
List the experience you have in a leadership role of an organization.
What are your strengths?
*
What are your weaknesses?
*
Certification of Application
I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentation, falsifications, or omissions on this application can be grounds for rejection of my application or immediate dismissal from the program. I authorize Community Uplift Partnership to make any necessary inquiries and investigations into my education, military or employment history. I further authorize, unless otherwise indicated on this application, the release of my information to Community Uplift Partnership by any of the schools, services, or employers listed on my application.
By typing my name below, I agree that I have read the statement above and it is true and accurate.
*
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