DWS-WDD 305

Rev. 3/2013

Employer:

State of Utah
Department of Workforce Services
EMPLOYMENT APPLICATION

LDS Business College

Date
:

Name: Farley
Last

Matthew
First

Address: 1768 N 450 W apt. 308

Street address

Provo
City

Home phone: (678) 365-6758

Work phone:

Email address:

mcarlfarley@gmail.com

4/9/2015

C
M.I.
UT
State

84604
ZIP

(678) 365-6758

Are you a veteran?

Yes

No

List the positions you are interested in by specific title (typist, carpenter, auto mechanic)
1st choice:

2nd
choice:

Accountant

Available to work:
Date you can start:

Full time

Temporary

5/1/2015

Are you employed now?

Yes

Part time

Desired
salary:
No

Bookkeeper
Shift work

$15/hr.

If yes, may we contact your present employer?

Have you applied to this company before?

Yes

No

Where
?

Yes

No

When?

Trade or professional licenses,

certificates or registrations:
Quickbooks certified

References: Three persons not related to you whom you have known at least one year:
Name

Address

Telephone/Business/Occupation

Michael Tobian

(801) 360-8544

James Kelley

(770) 527-8017

Michael Mauger

(907) 301-9904

Education:
Are you a high school graduate?
Yes
College, Business or Trade Schools
(Name and Location)

If no, indicate highest grade completed (1

12):

Length of Time
Major or Vocational Subjects
Degree/Certificate
No

LDS Business College

Accounting

2 Years

LDS Business College

Generals

2 Years

Continued on other side

Work History: Beginning with the present or most recent, list your three most significant employers. If you
wish to elaborate, you may attach a supplemental sheet or resum. Include military service, if applicable.
Firm name:

Alpine Business Brokers

Address: 67 W. University Parkway

Street address
Job title, responsibilities and duties:
Client care

Firm name:

Orem
City

Real Estate Agent

Job title, responsibilities and duties:

Represent Buyers
Represent Sellers

UT
State

Dates of employment:
Provo
City

84058
ZIP

9/15/14
UT
State

84604
ZIP

List and market homes

Full Service Storage

Dates of employment:

Address: 203 W 9000 S

Street address
Job title, responsibilities and duties:
Asset transportation
Clerical duties

9/15/14 - Present

List and market businesses

Address: 1768 N 450 W apt. 308

Street address

Firm name:

Dates of employment:

Sandy
City

9/15/13 - 7/15/14
UT
State

84070
ZIP

Client Care

Additional qualifications and skills: machines, equipment, tools used, related activities, etc.
Commercial Drivers License Class A

Certification of Applicant:

I certify that all statements made in this application are true and correct and that any misstatement of
material facts may subject me to disqualification or dismissal. Also, I authorize verification of all statements
made in this application.
Signature:

Date:

4/9/2015

Equal Opportunity Employer Program

Auxiliary aids and services are available upon request to individuals with disabilities by calling (801) 526-9240. Individuals
with speech and/or hearing impairments may call Relay Utah by dialing 711. Spanish Relay Utah: 1-888-346-3162