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Employment Application

NOTICE: Applicant should read the following information carefully before filling out any of the questions in this form. Title VII of the Civil Rights Act of 1964, as ammended, prohibits discrimination in employment because of race, religion or national origin. It is also illegal to discriminate in employment of persons because of thier age less than 70 years of age.

WE ARE AN AT WILL AND EQUAL OPPORTUNITY EMPLOYER


Personal Information

First Name
Last Name
Phone
E-Mail
Address
City
Zip

Education

Name of School or College
Where Located
Last year completed
Graduate / Degree
High School



College or University



Business, Technical or other Training

Field


Are you currently studying?
What?
Where?
Do you plan to return to school

Employment Desired

Position appliying for?
When can you report for work?
Starting salary desired?
Ever apply to this company before?
When?
May we inquire of your present employer?

Kinds of work in which you have had experience

Accounting
Adjusting
Auditing
Bookkeeping
Cashier
Collections
Credit
Customer Service
Dispatch
Driver
Filing
Inside Sales
Law
Management
Outside Sales
Payroll
Purchasing
Stock Work
Telephone System
Underwriting

Software you can operate efficiently

Microsoft Excel
Microsoft Word
Quickbooks

Former Employers

(Give information regarding all previous employment - Including Military Service)

Present / Last
Company Name
Date From
Date To
Salary
Company Address
Supervisor Name
Supervisor Phone
Job / Duties
Reason for leaving

Prior 1
Company Name
Date From
Date To
Salary
Company Address
Supervisor Name
Supervisor Phone
Job / Duties
Reason for leaving

Prior 2
Company Name
Date From
Date To
Salary
Company Address
Supervisor Name
Supervisor Phone
Job / Duties
Reason for leaving

U.S. Military
Branch
Date From
Date To
Highest Rank
Duty / Specialty

References

(Give the names and addresses of 3 persons who know you well and to whom we may refer - No relatives)

Name
Address
Phone
Years Known
Occupation
Name
Address
Phone
Years Known
Occupation
Name
Address
Phone
Years Known
Occupation