CHILD GUIDANCE CENTER (CGC) EMPLOYMENT APPLICATION I. APPLICANT CONTACT & BASIC INFORMATION Today's Date MM DD YYYY Legal Name * First Name Last Name Other Known Names (If Applicable) First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Mobile Phone (###) ### #### Home Phone (###) ### #### Email * Have you ever served in the armed forces? Yes No Do you have a valid drivers license? Yes No Are you eligible to work in the US? Yes No Are you currently employed? Yes No If currently employed, may we contact your supervisor? Yes No Current position and company/agency: Name of supervisor: Supervisor's phone: Position applying for: How did you learn/hear about this position? Besides English, what other languages are you fluent in? Thank you! Email Address Subscribe Thank you! Keep up with the latest news, events, tips, and more.
