Connecticut Application Form for Employment

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                             This Application Form for Employment is intended to be used by employers located in
                             Connecticut to gather vital and detailed information from job candidates. The form provides
                             for the candidates' contact information, employment history, references and prior
                             convictions. This document can be customized to elicit any additional information about the
                             candidates. It is useful for any employers that are going through the hiring process.
             ®




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                          APPLICATION FOR EMPLOYMENT
                                                               Attorney Drafted
GENERAL INFORMATION


Full legal name:          _______________________________________________________      _____
                          Last                             First                               Middle


Social Security Number:   ______________________________________________________


Address            :      ______________________________________________________
                          ______________________________________________________
                          ______________________________________________________


Telephone Number w/Area Code:                      __________________________________________


Position applied for               :       ________________________________________________


E-mail Address            :        ________________________________________________




EDUCATION QUALIFICATION
                                         Education
     School Name              Location           Years             Degree           Major/Specially
                                               Attended            Received
WORK EXPERIENCE DETAILS
                                          Employment


Current Employment Record:


1. Present Employer _______________________ Job Title ____________________________
   Period Employed From ________________________ to ___________________________
   Address ______________________ City ______________ State __________ Zip ________
   Phone ____________________ Job Title _______________________
   Starting Salary _______________________ Ending Salary _________________________
   Duties Performed ____________________________________________________________
   Reason for Leaving __________________________________________________________


   Past employment record (In ascending order of Experience)
2. Previous Employer ______________________ Job Title ____________________________
   Period Employed From ________________________ to ___________________________
   Address ______________________ City ______________ State __________ Zip ________
   Phone ____________________ Job Title _______________________
   Starting Salary _______________________ Ending Salary _________________________
   Duties Performed ____________________________________________________________
   Reason for Leaving __________________________________________________________


3. Previous Employer ______________________ Job Title ____________________________
   Period Employed From ________________________ to ___________________________
   Address ______________________ City ______________ State __________ Zip ________
   Phone ____________________ Job Title _______________________
   Starting Salary _______________________ Ending Salary _________________________
   Duties Performed ____________________________________________________________
   Reason for Leaving __________________________________________________________
4. Previous Employer ______________________ Job Title ____________________________
   Period Employed From ________________________ to ___________________________
   Address ______________________ City ______________ State __________ Zip ________
   Phone ____________________ Job Title _______________________
   Starting Salary _______________________ Ending Salary _________________________
   Duties Performed ____________________________________________________________
   Reason for Leaving __________________________________________________________


REFERENCES
Please provide professional reference only. Family member cannot be considered as a
reference.
        Name                    Phone No               Relationship          No of years know




ADDITIONAL INFORMATION
Have you ever been convicted of any criminal offense (including plea of guilty) other than
minor traffic violations?


If no, place your initials here. _______
If yes, please explain, including offenses for which convicted, dates and locations.
(Convictions do not automatically bar employment - nature, date, rehabilitation and
relation with job sought will be considered.
ACKNOWLEDGMENT AND AUTHORIZATION


1. I certify that answers given herein are true and complete to the best of my knowledge.


2.   I authorize investigation of all statements contained in this application for employment as
     may be necessary in arriving at an employment decision.


3. In the event of employment, I understand that false or misleading information given in my
     application or interview(s) may result in discharge. I understand, also, that I am required to
     abide by all rules and regulations of the employer.




     _____ [Month] _____ [Date], 20____.


     _______________________________
            Signature of Applicant

				
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Description: This Application Form for Employment is intended to be used by employers located in Connecticut to gather vital and detailed information from job candidates. The form provides for the candidates' contact information, employment history, references and prior convictions. This document can be customized to elicit any additional information about the candidates. It is useful for any employers that are going through the hiring process.
This document is also part of a package Essential Connecticut Legal Documents 86 Documents Included