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Contact Information

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ATEDY, Inc.
5702 S. Racine Ave. 
Chicago, Illinois 60636
Phone: 773.305.1939    312.283.5893
Fax: 1.800.785.4658         
Email: Atedyinc@aol.com

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments:

 ATEDY Hours of Operations  M-F
12:00 pm -  8:00 pm                                 

 Sat. 12:00 pm - 3:00 pm                                              

 Sun Closed
 Monday MS Word   1:30 pm - 3:00 pm 6:00 pm - 7:30 pm                                            
 Tuesday  MS Excel  1:30 pm - 3:00 pm  6:00 pm - 7:30 pm
 Wednesday  MS Power Point  1:30 pm - 3:00 pm  6:30 pm - 7:30 pm
 Thursday  MS Access  1:30 pm - 3:00 pm  6:30 pm - 7:30 pm
 Friday  Open Lab  12:00 pm - 7:30 pm  12:00 pm - 7:30 pm
 Saturday  TBA  12:00 pm - 3:00 pm  12:00 pm - 3:00 pm
 Sunday  Closed  Closed  Closed
Employment  Application

Disclaimer

I certify that my answers are true and complete to the best of my knowledge. 
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. 

Applicant Information:
Date::
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Co-Applicant Information
Date Available::
Social Security No.::
Desired Salary: (USD)
Position Applied for::
  Are you a citizen of the United States?
  If not citizen, are you authorized to work in the U.S.?
  Have you ever worked for this company?
  If worked for this company, when?
  Have you ever been convicted of a felony?
If convicted of felony, explain::
If convicted of felony, explain::
Contact Information
Daytime Phone:
Evening Phone:
Email:
Education Information
High School::
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To::
  Did you graduate?
Degree::
College::
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  Did you graduate?
Degree::
Other::
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  Did you graduate?
Degree::
Reference Information
First Name:
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Relationship::
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Relationship::
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First Name::
Last Name::
Relationship::
Company::
Address::
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Previous Employment Information
Company::
Address::
Phone::
Supervisor::
Job Title::
Starting Salary: (USD)
Ending Salary: (USD)
Responsibilities::
From::
To::
Reason for Leaving::
Reason for Leaving::
  May we contact your previous supervisor for a reference?
Company::
Address::
Phone::
Supervisor::
Job Title::
Starting Salary: (USD)
Ending Salary::  (USD)
Responsibilities::
From::
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Reason for Leaving::
Reason for Leaving::
  May we contact your previous supervisor for a reference?
Company::
Address::
Phone::
Supervisor::
Job Title::
Starting Salary::
Ending Salary::
From::
To::
Reason for Leaving::
  May we contact your previous supervisor for a reference?
Military Service:
Branch::
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Rank at Discharge::
Type of Discharge::
If other than honorable, explain::
   
Comments:

Volunteer  Application
person who voluntarily offers himself or herself for a service or undertaking.  To offer (oneself or one's services) for an undertaking by choice and without request or obligation.

A person who performs a service willingly and without pay.

Applicant Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Contact Information
Daytime Phone:
Evening Phone:
Work Phone::
Email:
Availability During which hours are you available for volunteer work?
  Weekday mornings
  Weekday afternoon
  Weekday evenings
  Weekend mornings
  Weekend afternoons
  Weekend evenings
Interests Tell us which areas are you interested in volunteering? 
  Administration
  Events
  Technology Instructor
  Instructor Assistant
  Grant Writer
  Web Site Master
  Lab Assistant
  PC Specialist
  Fundraising
  Deliveries/Pickup
  Technologist
  In-Take Representative
  Newsletter production
  Volunteer coordination
Other:
Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.:
Previous Volunteer Experience 
Summarize your previous volunteer experience:
Person to Notify  In case of  Emergency   
First Name:
Last Name:
Street Address::
City, State, Zip Code::
Home Phone::
Work Phone::
E-Mail Address::
 Agreement and Signature  
By submitting this application, I affirm that the facts set forth in it are true and complete.  I understand that if I am accepted as a volunteer, any false statement, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal,   
Name (printed)::
Signature::
Date::
Our Policy   
It is the policy of this organization to provide equal  opportunities without regard to race, color, religion, national orgin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in volunteering with us 
 
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Comments:

 ATEDY FILES  Click on Links To View Files  
     
 Confidential Agreement Form  https://skydrive.live.com/redir.aspx?cid=aeaaff7fd146e26a&resid=AEAAFF7FD146E26A!112&parid=root  
 Adult & Youth Release Forms  https://skydrive.live.com/redir.aspx?cid=aeaaff7fd146e26a&resid=AEAAFF7FD146E26A!113&parid=root  
 Employment Application  https://skydrive.live.com/redir.aspx?cid=aeaaff7fd146e26a&resid=AEAAFF7FD146E26A!114&parid=root  
 Equal Employment Opportunity Form  https://skydrive.live.com/redir.aspx?cid=aeaaff7fd146e26a&resid=AEAAFF7FD146E26A!115&parid=root  
 Volunteer Application  https://skydrive.live.com/redir.aspx?cid=aeaaff7fd146e26a&resid=AEAAFF7FD146E26A!116&parid=root  
 Donation Acceptance Policy Form  https://skydrive.live.com/redir.aspx?cid=aeaaff7fd146e26a&resid=AEAAFF7FD146E26A!119&parid=root  
 Instructor/Trainer Evaluator Form  https://skydrive.live.com/redir.aspx?cid=aeaaff7fd146e26a&resid=AEAAFF7FD146E26A!118&parid=root  
 Car Donation Flyer  https://skydrive.live.com/redir.aspx?cid=aeaaff7fd146e26a&resid=AEAAFF7FD146E26A!120&parid=root  
 Computer Repair Services Price List 1  https://skydrive.live.com/redir.aspx?cid=aeaaff7fd146e26a&resid=AEAAFF7FD146E26A!121&parid=root  
 Computer Repair Services Price List 2  https://skydrive.live.com/redir.aspx?cid=aeaaff7fd146e26a&resid=AEAAFF7FD146E26A!122&parid=root  
 Avarta ATEDY2  https://skydrive.live.com/redir.aspx?cid=aeaaff7fd146e26a&resid=AEAAFF7FD146E26A!128&parid=root  
 Avarta ATEDY LJr  https://skydrive.live.com/redir.aspx?cid=aeaaff7fd146e26a&resid=AEAAFF7FD146E26A!130&parid=root  
     
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