Employment Application

Contact Info

Name

Phone#

Address

City

State

Zip

Position Sought

Available Start Date

Desired Pay Range(Hourly or Salary)

Currently Employed?

Education

High School

Graduated

College/University

Graduated

Degree

Specialized Training, Trade School, etc.

Graduated

Degree/Certificate

Other Education

Previous Experience

1. Company Name

Location

Role/Title

Phone#

Employed To

Wage/Salary

Job notes, tasks performed and reason for leaving

2. Company Name

Location

Role/Title

Phone#

Employed To

Wage/Salary

Job notes, tasks performed and reason for leaving

3. Company Name

Location

Role/Title

Phone#

Employed To

Wage/Salary

Job notes, tasks performed and reason for leaving

Work Availability

1. If your application receives favorable consideration, when will you be available to begin work?

2. Do you have any objection to working overtime?

3. Can you work overtime without prior notice?

4. Can you work on Saturday?

5. Can you travel if required by this position?

6. Is there any information we would need about your name or use of another name for us to be able to check your work record? Please specify:

7. How were you referred to our shop?

8. Have you ever been convicted of a felony?

If Yes please explain

References

1. Name

Occupation

Years Known

Phone#

Address

City

State

Zip

2. Name

Occupation

Years Known

Phone#

Address

City

State

Zip

3. Name

Occupation

Years Known

Phone#

Address

City

State

Zip