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Box 10  \nShelburne, VT 05482  \nEMPLOYMENT APPLICATION  \nShelburne Museum is an Equal Opportunity Employer. Discrimination based on age, sex, race, color, creed, national origin, disabling condition, or any other non-merit factor is prohibited.  \nTHIS APPLICATION FORM MUST BE USED TO APPLY FOR JOBS WITH SHELBURNE MUSEUM.  \nResumes are encouraged, but only for additional information. All sections of the application must be completed whether or not a resume is attached. Please do not refer to your resume.  \n\n| Name (Last, First, MI) |  |  |  |\n| --- | --- | --- | --- |\n| Mailing Address |  | City |  |\n| State | Zip Code | Home Telephone | Business Telephone |\n| e-mail |  |  |  |\n\nYES NO  \n    Are you 18 years of age or older?  \nAre you authorized to work in the United States?  \n_____ _____  \nThe Federal Immigration Reform and Control Act of 1986 requires individuals to provide, to an employer, documented proof that they are authorized to work in the United States if hired.  \n    If an offer of contingent employment is made, are you willing to submit to a full background check?  \n    Have you been employed by Shelburne Museum before? If “YES” indicate previous names  \nused if different from above, position held, and dates employed:  \nAVAILABILITY  \nCheck the kinds of employment acceptable to you:  \n(Circle at least one type, schedule and shift; check all that apply  \nType  \nRegular  \nSeasonal  \nTemporary  \nSchedule  \nFull time Part time  \nEither  \nShift  \nDay Shift Evening Shift Night Shift Any Shift  \nMinimum hourly wage or annual salary acceptable: $ (will not affect eligibility for positions)  \nWhat position are you applying for?  \nWhere did you hear about this position?  \nWhat date are you available to begin work?  \nIf applying for a position that requires driving, do you have the appropriate license?   yes   no   n/a If applying for a position that requires driving, have you been ticketed for a moving violation in the last three years?   yes   no   n/a If yes, please explain:  \nEDUCATION AND FORMAL TRAINING (please complete even when submitting a resume)  \nDo you have a High School diploma or A GED certificate?   yes   no. If no, highest grade completed:    \nCOLLEGE, NURSING, MILITARY, TRADE BUSINESS OR OTHER SCHOOLS ATTENDED  \n\n| Name and Address | Major Course of Study | Dates Attended | Graduated\u003Cbr>Yes/No | Degree earned and Year |\n| --- | --- | --- | --- | --- |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n\nList professional licenses, registration or certification  \n\n| Name of Licensing Agency | Type of License | Date of Issue | Expiration Date |\n| --- | --- | --- | --- |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n\nPlease describe other special training or skills (languages, machine operation, etc. )  \nPlease list Memberships in Professional or Civic Organizations (exclude those which may disclose your race, color, religion or national origin) .  \nYou may have been given a written job description that includes the essential job functions of the position for which you have applied. Are you able to perform each of the essential job functions listed for the position with or without accommodation?   yes   no  \nWORK EXPERIENCE (please complete even when submitting a resume)  \nBeginning with your PRESENT OR MOST RECENT employment or volunteer experience and working backward, list your work experience. Include unpaid or volunteer work, if applicable. Clearly describe the work (duties) you personally performed. If additional space will be required please make a copy of this page and attach it. You MUST fill out this section completely even if a resume is being attached. Information you provide on this application is subject to verification.  \n\n| 1 | Job Title |  |  | Employer |  | Kind of Business |\n| --- | --- | --- | --- | --- | --- | --- |\n| Address |  |  |  |  | Supervisor’s Name and Telephone |  |\n| Total Time in this position\u003Cbr>Years Months |  | From (month, yea","cbCaiqBwRCULvKIv","https://ap.wps.com/l/cbCaiqBwRCULvKIv","pdf",336651,"English","# Employment Application\n## Applicant Eligibility and Availability\n## Education, Training, Licenses, and Skills\n## Work Experience\n## Applicant’s Acknowledgement","[{\"question\":\"What information must be completed on the Shelburne Museum application form?\",\"answer\":\"All application sections must be completed, whether or not a resume is attached. The form asks for personal details, eligibility/work authorization answers, education, licenses, special skills, memberships, and work experience.\"},{\"question\":\"Which eligibility and background-check questions are included?\",\"answer\":\"The form asks whether the applicant is 18 or older, authorized to work in the United States, and willing to submit to a full background check if a contingent offer is made.\"},{\"question\":\"How should work experience be documented on the form?\",\"answer\":\"Work experience must be listed starting with the present or most recent role and moving backward, including unpaid or volunteer work if applicable. Each entry requests job title, employer details, dates, hours per week, responsibilities, duties, and reason for leaving.\"}]","Shelburne Museum Employment Application | PDF"]