Employment Application

Please complete the online application form below to apply for employment.

If you prefer, to complete the application and mail it to us, click here to download the employment application and mail your completed application to:

Deidra Preston
It’s About Time, Inc.
7702B Plantation Road
Roanoke, VA 24019


It's About Time, Inc. Employment Application

Fields marked with a * are required.


GENERAL INFORMATION

Date (mm/dd/yyyy) *

Last Name *   First Name *

Middle Initial

Phone: Primary *   Other

Email Address *

Mailing Address: Street *

City *   State *

ZIP *

Are you legally entitled to work in the U.S.? * YesNo


POSITION

Position or type of employment desired *

Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodation? * YesNo

Do you have a criminal record? * YesNo

Will accept: Part timeFull time

Check days available MonTueWedThuFriSatSun

Check hours available AMPM

Salary desired

Date available


EDUCATION AND TRAINING

High school graduate or have GED? * YesNo   If no, highest grade completed


College, Business School, Military (Most recent first)

Name    Location

Dates attended (mm/yyyy): From to

Credits Earned:
Quarter or semester hours   Other (specify)

Graduated? YesNo

Degree   Year

Major / Subject


Name    Location

Dates attended (mm/yyyy): From to

Credits Earned:
Quarter or semester hours   Other (specify)

Graduated? YesNo

Degree   Year

Major / Subject


Name    Location

Dates attended (mm/yyyy) From to

Credits Earned:
Quarter or semester hours   Other (specify)

Graduated? YesNo

Degree   Year

Major / Subject


Name    Location

Dates attended (mm/yyyy): From to

Credits Earned:
Quarter or semester hours   Other (specify)

Graduated? YesNo

Degree   Year

Major / Subject


Occupational Licenses, Certificates, and Registrations

Type 

Where issued?   Expiration date (mm/yyyy)

Type 

Where issued?   Expiration date (mm/yyyy)

Type 

Where issued?   Expiration date (mm/yyyy)


Languages you can read, write, or speak and understand fluently other than English?


WORK EXPERIENCE (Most recent first)

Employer   Phone

Address

Job title   Number of employees supervised

Specific duties

Employment from (mm/yyyy) to

Hours per week   Last salary

Supervisor

Reason for leaving   May we contact this employer? YesNo


Employer   Phone

Address

Job title   Number of employees supervised

Specific duties

Employment from (mm/yyyy) to

Hours per week   Last salary

Supervisor

Reason for leaving   May we contact this employer? YesNo


Employer   Phone

Address

Job title   Number of employees supervised

Specific duties

Employment from (mm/yyyy) to

Hours per week   Last salary

Supervisor

Reason for leaving   May we contact this employer? YesNo


I certify the information contained in this application is true, correct, and complete. I understand that if employed, false statements reported on this application may be considered sufficient cause for dismissal.

Typed signature *

Date (mm/dd/yyyy) *

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