Employment Application

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Employment Application

Step 1: Contact Information

20%

APPLICANTS ARE CONSIDERED FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, AGE, MARTIAL OR VETERANS STATUS, OR THE PRESENCE OF A NON-JOB RELATED MEDICAL CONDITION OR HANDICAP. ANY ITEMS ON THIS FORM WHICH YOU FEEL TEND TO VIOLATE FEDERAL OR STATE CIVIL RIGHTS OR F.E.P.C. LEGISLATION NEED NOT BE COMPLETED.

Name

Present Address

Telephone Numbers

Step 2: Current Status

40%
Here are some of the Current Job Positions we are looking to fill.
If you are under age 18, can you furnish a work permit?
Are you prohibited from lawfully becoming employed in this country because of VISA or Immigration Status?
Are you available to work:
What date would you be available to work?
Are you on lay off subject to recall?

Step 3: Education

60%

High School

Years Completed:

College / University

Years Completed:

Graduate / Professional

Years Completed:

Certificate Programs

Do you have a driver's license?
Do you have a commercial driver's license?

Step 4: Employment History

80%
Start Date
End Date
May we contact this employer?

List three activities in your job responsibilities which consume the most time:

Start Date
End Date
May we contact this employer?

List three activities in your job responsibilities which consume the most time:

Start Date
End Date
May we contact this employer?

List three activities in your job responsibilities which consume the most time:

Step 5: Complete and Sign Application

100%

List three of your strengths:

List three of your weaknesses:

List two criticisms you have received from your superiors, peers, or subordinates in the last two years:

I certify that answers given here are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not and is not intended to be a contract of employment. In the event of employment. I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of this company.
Saturday, April 12 2025

Optional: References