APPLICATION FOR EMPLOYMENT
PLEA is an equal opportunity employer and will consider all applicants for all positions equally without regard to their race, sex, age, color,
religion, national origin, veteran status or any disability as provided in the Americans With Disabilities Act.
Work History
List names of employers in consecutive order with present or last employer listed first. Account for all periods
of time including military service and any periods of unemployment. If self-employed, give firm name and supply
business references.
Supplemental Employment Information
If you worked in any of your previous positions under another name, please give that name(s) below.
(For reference checking purposes.)
Clearances
Do you have a current (less than 1 year old) clearance for the following:
NOTE: A conviction will not necessarily disqualify you from employment.
Transportation
References
Give three references, not relatives and at least one who can comment on your ability to work with children.
Affidavit