EMPLOYMENT APPLICATION
768 Cecil Avenue North - PO Box 9 - Millersville, MD 21108
Name
S.S.
Home Address
Phone Number
City
State
Zip
E-mail Address
Date of Birth
If under 18 yrs., please list your parent's name & address below.
Date you can start work
How did you hear of us?
Whom do you know that has worked for Washington, D.C. Capitol KOA?
Have you applied for a job at Washington, D.C. Capitol KOA before?
Yes
No
When?
Position Preference:
1st
2nd
Are you applying with another applicant?
Yes
No
If so, name
If openings are not available for both, would you come by yourself?
Yes
No
Do you have a driver's license?
Yes
No
License #
School/Civic Activities & Organization
List your skills and knowledge of equipment
Please include a paragraph indicating the talents, attitudes, and abilities you have that would qualify you for a position with us.
Signature
Date