Employment Application
Applicant Information
Name
Address
City
State
Zip
Phone
E-mail
Date Available
Social Security No.
–
–
Desired Salary:
$
Position Applied for:
Are you a citizen of the United States?
yes
no
If no, are you authorized to work in the U.S.?
yes
no
Have you ever worked for this company?
yes
no
If yes, when?
Have you ever been convicted of a felony?
yes
no
If yes, explain:
Education
1. High School
Address
Did you graduate?
yes
no
Degree
2. College
Address
Did you graduate?
yes
no
Degree
3. Other
Address
Did you graduate?
yes
no
Degree
References
Please list three professional references.
1. Name
Relationship
Company
Address
Phone
2. Name
Relationship
Company
Address
Phone
3. Name
Relationship
Company
Address
Phone
Previous Employment
Company
Phone
Address
Supervisor
Job Title
Starting Salary:
$
Ending Salary:
$
Responsibilities
From
to
Reasons for Leaving
May we contact your previous supervisor for a reference?
yes
no
Military Service
Company
From
to
Rank at Discharge
Type of Discharge
If other than honorable, explain:
