APPLICANTION FOR EMPLOYMENET

     Is an equal opportunity employer. All applicants and employees are considered for employment, advancement and compensation based upon their skills and performances without regard to race, color, creed, religion, sex, national origin, Citizenship Status, age, disability, martial status, or veteran¡¯s status.
(*: Required field )
Date of Application*:  (e.g. 07/07/2008)
Personal Data
Name*: First Name 

Last Name 
SSN#*: --
Address*:
City*:    
State*:    
Zip*:    
Home Phone*:
Cell Phone:
E-mail*:
Position
Position Desire*:    
Salary Desire*:    
Date available to work*:  (e.g. 07/25/2008)
Are you able to relocate?*: Yes  No
When how may mile?:    
Type of employment*: Management
Full time(32-40hr)
Part time(0-31hr)
Please indicate the hour you are available*:
Mon  : A.M  to    P.M  to

Tue  : A.M  to    P.M  to
Wed : A.M  to    P.M  to

Thur : A.M  to    P.M  to
Fri   : A.M  to    P.M  to

Sat  : A.M  to    P.M  to
Sun  : A.M  to    P.M  to
How were you referred?*: Classified Ads  Walk-in  Other
Did you have any relatives employed by?*:
Yes  No    If any, where and when? 
Are you under 18 years of age?*:
Yes  No    If yes, state your age? 
Have you ever been employed by?*:
Yes  No    If yes, where and when? 
Are you an U.S citizen or an Alien authorized to work in the United States?*:
Yes  No
Have you ever been convicted of a crime than a minor traffic offense?*:
Yes  No
If yes, explain offense and final disposition*: 
Education
High school*
Name/Address :  
Course of study :    Last year completed 1 2 3 4
Diploma/Degree :  
College*
Name/Address :  
Course of study :    Last year completed 1 2 3 4
Diploma/Degree :  
Other / Vocational *
Name/Address :  
Course of study :    Last year completed 1 2 3 4
Diploma/Degree :  
Work experience
     The employment section must be completed even if you have a resume. List employment starting with your most recent position.
May we contact your present employer?:  Yes  No
From : Mo.   Yr.    To : Mo.   Yr.
Name/Address :  
Phone:  
Position /Job title :  
Supervisor name and title :  
Wages : Start   Final 
List Major Duties :  
Reason for leaving :  
From : Mo.   Yr.    To : Mo.   Yr.
Name/Address :  
Phone:  
Position /Job title :  
Supervisor name and title :  
Wages : Start   Final 
List Major Duties :  
Reason for leaving :  

  

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