EMPLOYMENT APPLICATION FORM by imt12947

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									EMPLOYMENT APPLICATION FORM



Personal Information

Full Name ________________________________               SS# _________________

Phone _______________________

Address ____________________________            City _____________     State    ______   Zip __________

Date of Birth (optional) _______/________/________




Employment Desired
Position(s) Applying For    1.________________________________________

                            2.________________________________________

Date You Can Begin. _____________________________                   Salary Desired __________________

Are you currently employed?     YES     NO

If yes, can we contact your present employer?   YES     NO

Employment Sought        FULL-TIME         PART-TIME

Can you,, at the time of employment, submit verification of your legal right      YES    NO
to work in the United States ?

Have you ever been convicted of any crime (assault, theft, etc.)?   YES    NO

If Yes, please explain. __________________________________________________________________

_____________________________________________________________________________________


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Dad’s Place Employment Application
Education
High School _______________________             Location _______________________________

Graduate?    YES     NO                Major ________________________________________

Trade / Business / Graduate School _________________________   Location ____________________

Graduate?    YES     NO                Major ________________________________________




Please Answer
Why are you interested in becoming an employee at Dad‘s Place? ________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Where did you get the information about the position? _________________________________________

_____________________________________________________________________________________




Employment History
List most recent first

Company Name ___________________________         Job Title ____________________________

Address _____________________________________        Phone ___________________________

Job Responsibilities ________________________________________________________________

Supervisor _____________________     Dates of Employment _______________ to ______________

Reason for leaving ___________________________________________________________________

____________________________________________________________________________________


                                      Continued on next page




Dad’s Place Employment Application
Employment History (continued)


Company Name ___________________________             Job Title ____________________________

Address _____________________________________           Phone ___________________________

Job Responsibilities ________________________________________________________________

Supervisor _____________________        Dates of Employment _______________ to ______________

Reason for leaving ___________________________________________________________________

____________________________________________________________________________________

Company Name ___________________________             Job Title ____________________________

Address _____________________________________           Phone ___________________________

Job Responsibilities ________________________________________________________________

Supervisor _____________________        Dates of Employment _______________ to ______________

Reason for leaving ___________________________________________________________________




References
List three (3) individuals, not related to your, who are familiar with your WORK RELATED skills.

  Name           Name of Company           Address              Years Known Phone

1)___________________________________________________________________________________

2)___________________________________________________________________________________

3)___________________________________________________________________________________




Dad’s Place Employment Application

								
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