Application for Employment

P
E
R
S
O
N
A
L		 Last Name                       First Name        Middle
        
Street Address

City                                   State          Zip
             
Have you ever applied for employment with us? Yes   No   
If yes, Month and Year   Locations
Position Desired

Apart from absence for religious observance, are you available for full-time work?  Yes  No   If not, what hours can you work?
Are you legally eligible for employment in the United States?
Yes    No
Other specific training or skills (languages, machine operation, etc.)
 		Date
Home Telephone
Business Telephone
Social Security #
Pay Expected
Will You Work Overtime if asked?
Yes   No
When will you be available to begin work?

 

E
D
U
C
A
T
I
O
N		 School Name and Location Course of Study No. of Years Completed Did you Graduate? Degree or Diploma

Yes  No
Yes  No
Yes  No
Yes  No
Yes  No

 

EMPLOYMENT
 
1

  Company Name  

Telephone -

  Address  

Employed from -
  Name of Supervisor Weekly Pay
  Job Title and Description
 		 Reason for leaving
 
2

  Company Name  

Telephone -

  Address  

Employed from -
  Name of Supervisor Weekly Pay
  Job Title and Description
  		Reason for leaving
 
3

  Company Name  

Telephone -

  Address  

Employed from -
  Name of Supervisor Weekly Pay
  Job Title and Description
  		Reason for leaving
 
4

  Company Name  

Telephone -

  Address  

Employed from -
  Name of Supervisor Weekly Pay
  Job Title and Description
  		Reason for leaving
  

We may contact the employers listed above unless you indicate those you do not want us to contact.

DO NOT CONTACT
   Employer Number(s)
   Reason
  
S
I
G
N
A
T
U
R
E
The information provided in this Application for Employment is true, correct, and complete. Any misstatement of material facts will be grounds for disqualifying the applicant from further consideration in the selection process, or if hired, grounds for discharge.

Nothing on this application is intended to create or imply a contractual relationship; if hired, the employee understands that employment is at will, and is not for a specific time, and can be terminated with or without reason at any time.

Consideration for employment is conditioned upon the results of a reference check. The employer is authorized to investigate all statements made by the applicant on the application and to contact former employers and references.

   Date     Electronic Signature

Copyright © 2005 shawneepizza.com  All rights reserved.
Revised: April 06, 2005 .