Application for Employment
Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.
Ngày ______________
Last name ________________________ First name ________________ Middle name________
Street Address _________________________________________________________________
City _____________________ State _______ ZIP _______
Điện thoại ___________________________ Social Security ___________________________
Position applied for __________________________________________
How did you hear of this opening? __________________________________________
When can you start? _____________________ Desired Wage $______________
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.) Yes/No
Are you looking for full-time employment? Yes/No
If no, what hours are you available? ______________
Are you willing to work swing shift? Yes/No
Are you willing to work graveyard? Yes/No
Have you ever been convicted of a felony? (This will not necessarily affect your application.) Yes/No
If yes, please describe conditions. __________________________________________________
School Name and Location Year Major Degree
High School ________________________________________ ______ ______ ______
College ___________________________________________ ______ ______ ______
College ___________________________________________ ______ ______ ______
Post-College _______________________________________ ______ ______ ______
Other Training ______________________________________ ______ ______ ______
In addition to your work history, are there other skills, qualifications, or experience that we should consider? ______________________________________________________________________________
Employment History (Start with most recent employer)
Company Name ________________________________________________________________
Address ____________________________________ Telephone _________________________
Date Started ___________ Starting Wage ____________ Starting Position ________________
Date Ended _____________ Ending Wage ____________ Ending Position ________________
Name of Supervisor ____________________________________
May we contact? Yes/No
Responsibilities _____________________________________________________________
Reason for leaving ______________________________________________________________
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