Sample Employment Appli
PLEASE PRINT ALL
INFORMATION REQUESTED
EXCEPT SIGNATURE
APPLICATION FOR EMPLOYMENT
"APPLIGANTS MAY BE TESTED FOR ILLEGAL DRUGS
PLEASE COMPLETE PAGES 1-4, paTE
Name Wilfoy HC 0d
Present address 123 Comrn ME 8422
rn oy saa
IE Col
Telephone (51%)
Wunder 18, please list age
ARP Days/hours avaliable to work
Position applied for (1)_(' 0. Vy UU (dean i y No Pref Thur
and salary desired (2). 00 Mon. Fi
(Be specific) ej——
Wed Sun
qt
How many hours can you work weekly? _ (Can you work nights?
Employment desied — / FULLTIME ONLY _PART-TIME ONLY _FULL- OR PART-TIME
When available for work? Al! “Tuna
TYPE OF SCHOOL | NAME OF SCHOOL] LOCATION NUMER OF YEARS
(Complete mating COMPLETED
High Seal nena z
CaaS
Bus or Trade Schoad
Professional School
HAVE YOU EVER BEEN CONVICTED OF A CRIME? No dyes
Ityes, explain number of convition(s) nature of ofense(s) leading to conviction(s), how recently such offense(s) washwere
commited, sentence(s) imposed, and type(s) of rehabilitationPLEASE PRINT ALL
INFORMATION REQUESTED
EXCEPT SIGNATURE.
APPLICATION FOR EMPLOYMENT
DOvOUNAVEADRVERSLICENSE? \.vos __no
‘What is your means of transportation to work? _VOF\4 yt
Diver's license.
number S216 \2B IA State ofissue (VT _Y Operator Commercial (CDL) __ Chauffeur
Expiration date _ GS / 7G/ 1e
Have you had any accidents during the past three years? How many? MD
Have you had any moving veltons curing the past three years? How Many? DIC
(OFFICE ONLY
_Yes Yes Word _Yes
typrg = No wm t0key “No Processing No. _ WPM
Personal Yes _PC otter
Computer No Mac Shiis
Pease list two references other than relatives or previous employers,
name C al Ory name LG. 4
Postion positon Owner of Raver bork otrtdeors
company Wd Ht company P,P.
Address $3 Ele MY address 13 Ei thun St Rlag'r z
Telephone (3!) “a(yb 6S Telephone Git) GOT
‘An application form sometimes makes it ficult for an individual to adequately summarize a complete background. Use the
space below to summarize any additional information necessary to describe your full qualfications forthe specific position for
which you are applying
RCP le GENOPLEASE PRINTALL
INFORMATION REQUESTED
EXCEPT SIGNATURE
APPLICATION FOR EMPLOYMENT
MILITARY.
HAVE YOU EVER BEEN IN THE ARMED FORCES? Vives _ No
ARE YOU NOW A MEMBER OF THE NATIONAL GUARO? va Ns
specaty Yo (aining Date Entered 05/7 Discharge Dato te
Work ioaso list your work exprinoo forte past five years begining wth your most recent job held
Experience __Ityou were self-employed, gie frm name, Attach additional sheets if necessary.
Name of employer Name ofiast | Employment dates | Pay or salary
Address supervisor
City, State, Zip Code
Phone number
5] stat 7 57
Final i254,
\ ie Too bs QO/I
Your last job tile
Reason for leaving (be specific)
List he jobs you held, duties performed, skill used or learned, advancements or promotions while you worked at this
no Ay G 1 lod: >I
Chin bed prawn Weres, Staded le Wa
U : hig cand CONRBY
Nane of employer Name oft | Employment dates | Pay or salary
arose veveer
City, Stato, Zip Code
Prone numbor From start
To Final
Your tast sob Te
Reason for leaving be specific)
List the jobs you held, duties performed, skis used or learned, advancements or promotions while you worked at this
‘company.