Prevent Blindness, Ohio Affiliate Employment Application- Director of Development 2021

Contact Information/General Background

Note: This application form was designed for use by persons applying for various types of positions. Some questions may not be completely applicable to your situation, but we ask that you answer all job-related inquiries to the best of your ability.

The company is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. Please advise us if any accommodations are required to assist you in the application process.

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* 1. Date of Application

MM/DD/YYYY

Date

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* 2. Full Name

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* 3. Address/Contact Information

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 4. Full-Time/Part-Time

Full-Time Desired

Part-Time Desired

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* 5. Date Available

Date

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* 6. Salary/Compensation Desired

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* 7. Referral Source

Employment Agency

School/College

Prevent Blindness Website

Employee Referral

Career Seeker Website

Other (please specify)

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* 8. Have you ever applied for a position with us?

Yes

If yes, when?

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* 9. Have you ever been employed by us?

Yes

If yes, when?

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* 10. Do you have any relatives or close friends working here?

Yes

If yes, state identity and relationship

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* 11. Are you currently employed?

Yes