Application for Employment

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					                                    Application for Employment

ALL POTENTIAL EMPLOYEES ARE EVALUATED WITHOUT REGARD TO RACE, COLOR,
RELIGION, GENDER, NATIONAL ORIGIN, AGE, MARITAL OR VETERAN STATUS, THE PRESENCE
OF A NON-JOB RELATED HANDICAP OR ANY OTHER LEGALLY PROTECTED STATUS.

Name_____________________________________________________________
Date________________
Address__________________________________ City___________________
State________ Zip_______
Home Phone ____________________Office Phone___________________
Other Phone_________________
Email Address: ______________________________
Social Security Number:_________________________
Position Sought: _______________________________________________________
How did you learn about the position? ______________________________________
On what date would you be available for work? ____________________
Desired Wage/Salary $_____________
Are you a U.S. citizen, or are you otherwise authorized to work in the U.S. without any
restriction? [   ] Yes [     ] No
Have you ever been convicted of a felony? [        ] Yes [   ] No   If yes, please describe
circumstances: ______________________________________________________
__________________________________________________________________
Have you ever been involuntarily terminated or asked to resign from any position of
employment? [      ] Yes [     ] No
If yes, please describe circumstances: _____________________________________
____________________________________________________________________
If selected for employment, are you willing to submit to a pre-employment drug
screening test?       [    ] Yes [    ] No
EDUCATION
School Name _______________________________________________________
Location ___________________________________________________________
Years Attended _______________________________________________________
Degree Received _____________________________________________________
Major ________________________________________________________________
 Other training, certifications, or licenses held: _________________________________
______________________________________________________________________
_________________
List other information pertinent to the employment you are seeking:
______________________________________________________________________
____________________________________________________

EMPLOYMENT
(Most Recent First.)

1. Employer_____________________________________________
Job Title_________________________
Dates Employed______________
Prior Position Held within Company (if any): _________________________
Address_________________________________ City___________________
State________ Zip_________
Phone____________________ Job Title_______________________
Supervisor_______________________
Starting Salary________________________________
Ending Salary_______
				
DOCUMENT INFO
Description: A job application is an application for employment used by companies to hire employees. A job application can be completed in several ways. There are paper job applications forms that you fill out if you apply in person for a position. There are also online job applications, typically completed at a company web site. Some employers accept job applications via email, fax, or mail. In those cases your job application should consist of a resume and cover letter.
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