TYI Seattle - Job Application Form

* indicates required field
Profile Information
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Education
Main Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Email Address*
Name of School
Type of School
City
State
Completion

MonthDayYear
Degree/Diploma
Major
Professional Experience
Company 1
Company Name
Main Phone

Area CodePhone Number
Job Position/Title
Job Duties
Start Date

MonthDayYear
End Date

MonthDayYear
This is my current position

YesNo
Start Wage
End Wage
May we contact this employer for a reference check?

YesNo
Supervisor Name
Supervisor Contact Number or Email
Company 2
Company Name
Main Phone

Area CodePhone Number
Job Position/Title
Job Duties
Start Date

MonthDayYear
End Date

MonthDayYear
Start Wage
End Wage
Reason for Leaving
May we contact this employer for a reference check?

YesNo
Supervisor Name
Supervisor Contact Number or Email
Company 3
Company Name
Main Phone

Area CodePhone Number
Job Position/Title
Job Duties
Start Date

MonthDayYear
End Date

MonthDayYear
Start Wage
End Wage
Reason for Leaving
May we contact this employer for a reference check?

YesNo
Supervisor Name
Supervisor Contact Number or Email
Resume
Upload Resume

Upload a File
Max file size is 2MB; We prefer Word documents, but acceptable file types are pdf, doc, docx, txt, html, zip Cancelof
Availability
Are you willing to work temporary?

YesNo
Are you available for long term assignments?

YesNo
Do you have use of a car?

YesNo
Will you accept same day assignments?

YesNo
When are you available to start?

MonthDayYear
What hours are you available?

WeekdaysWeekends
What geographical locations are you available for?

DowntownEastsideSouthNorth
How many hours are you willing to work in a week?
Agreement
Have you ever been convicted of a crime in the past ten years excluding misdemeanors and summary offenses, which have not been annulled, expunged or sealed by a court?*

YesNo
The information provided in this application is correct and complete to the best of my knowledge.*

I Agree
I have read the terms of agreement and privacy policy statement.*

I Agree
Should be Empty:

Profile Information

Education

Professional Experience

Resume

Availability

Agreement