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Application for Employment - Copy and Paste into word or works Name: Social Security #: Address: City: State: Zip: Telephone: Cell: Email: Are you under 18 years of age? Date of birth: Are you legally authorized to work in the United States?: Have you applied here before? If yes, when? Have you ever been employed by us before? If yes, when? Do you have a valid driver’s license? Do you have access to reliable transportation? Have you ever been convicted of a felony? If yes, explain: Employment Desired / Availability Position:___________________________________ Start date:_____________________ Salary desired:___________ Total hours available to work per week:________________ Are you available to work: Holidays_____ Days_____ Evenings_____ Weekends______ Please indicate the hours you are available to work each day: Sunday: From: to: or ANY Monday: From: to: or ANY Tuesday: From: to: or ANY Wednesday: From: to: or ANY Thursday: From: to: or ANY Friday: From: to: or ANY Saturday: From: to: or ANY Education High School:_________________________ City/State___________ # yrs attended ____ Graduate: Yes No College: :_________________________ City/State___________ # yrs attended _______ Graduate: Yes No Other: :_________________________ City/State___________ # yrs attended _________ Graduate: Yes No Please list any other education, training certificates, computer or special skills that you possess that are related to the job for which you are applying:________________________________________________________________________________________________________________________________________________________________________________________________________________ Notes: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Employment Beginning with your present or most recent experience, list your 3 employees, assignments, or volunteer activity including military. If you have had less than 3 employees, use the remaining space for personal references that are not related to you.
Company:______________________________ Telephone: _______________________ From: ______________________ To: _____________________ Address: ________________________________________________________________ City ___________________________________ State ____________ Zip ____________ Supervisor: ________________________ May we contact? Yes No Position:________________________ Starting wage: __________ Final wage:________ Describe major duties: _____________________________________________________ ________________________________________________________________________ Reason for leaving: _______________________________________________________ ________________________________________________________________________
Company:______________________________ Telephone: _______________________ From: ______________________ To: _____________________ Address: ________________________________________________________________ City ___________________________________ State ____________ Zip ____________ Supervisor: ________________________ May we contact? Yes No Position:________________________ Starting wage: __________ Final wage:________ Describe major duties: _____________________________________________________ ________________________________________________________________________ Reason for leaving: _______________________________________________________ ________________________________________________________________________
Company:______________________________ Telephone: _______________________ From: ______________________ To: _____________________ Address: ________________________________________________________________ City ___________________________________ State ____________ Zip ____________ Supervisor: ________________________ May we contact? Yes No Position:________________________ Starting wage: __________ Final wage:________ Describe major duties: _____________________________________________________ ________________________________________________________________________ Reason for leaving: _______________________________________________________ ________________________________________________________________________
Signed: ______________________________________
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