EMPLOYMENT / JOB APPLICATION

PERSONAL INFORMATION

FULL NAME: William Trey Howard DATE: Nov. 12, 2020

First Middle Last

ADDRESS: 31 Berkeley Place

Street Address Apt/Suite
Cartersville, GA. 30121

City State Zip Code

E-MAIL: treyhoward90@gmail.com PHONE: 470-439-1192

SOCIAL SECURITY NUMBER (SSN) 4702

DATE AVAILABLE: Nov. 13, 2020 DESIRED PAY: $___O_pen _ ☐ HOUR ☐ SALARY

POSITION APPLIED FOR ____ Video Game Designer

EMPLOYMENT DESIRED: ☐ FULL-TIME ☐ PART-TIME ☐ SEASONAL

EMPLOYMENT ELIGIBILITY

ARE YOU LEGALLY ELIGIBLE TO WORK IN THE U.S? ☐ YES ☐ NO*

HAVE YOU EVER WORKED FOR THIS EMPLOYER? ☐ YES* ☐ NO

*IF YES, WRITE THE START AND END DATES:

HAVE YOU EVER BEEN CONVICTED OF A FELONY? ☐ YES* ☐ NO

*IF YES, PLEASE EXPLAIN: ___

EDUCATION

Cass High School White, GA.

HIGH SCHOOL: CITY / STATE:

FROM:
2016 TO: Current

GRADUATE? ☐ YES ☐ NO DIPLOMA:

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 REFERENCES
(PROFESSIONAL ONLY)

Lanier Turley Engineering Teacher

FULL NAME: RELATIONSHIP:
First Last

Bartow County College & Career Aca_demyTITLE: Teacher

COMPANY:

Lanier.turley@bartow.k12.ga.us
E-MAIL: PHONE:

FULL NAME: Karen Smith A:dvanced Comp. Teacher

RELATIONSHIP
First Last

COMPANYB
: artow County College & Career Acade_my TITLE: Teacher

E-MAIL: Karen.smith@bartow.k12.ga.us PHONE:

College Mathematics
FULL NAME: Ning Jiang RELATIONSHIP: Teacher
First Last

Cass High School Teacher

COMPANY: TITLE:

E-MAIL: Ning.jiang@bartow.k12.ga.us PHONE:

MILITARY SERVICE

ARE YOU A VETERAN? ☐ YES ☐ NO

BRANCH: RANK AT DISCHARGE:

FROM: TO:

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TYPE OF DISCHARGE:

IF NOT HONORABLE, PLEASE EXPLAIN:

BACKGROUND CHECK CONSENT

IF ASKED, ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK? ☐ YES ☐ NO

DISCLAIMER

Applicant understands that this is an Equal Opportunity Employer and committed to excellence
through diversity. In order to ensure this application is acceptable, please print or type with the
application being fully completed in order for it to be considered.

Please complete each section EVEN IF you decide to attach a resume.

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this
application leads to my eventual employment, I understand that any false or misleading
information in my application or interview may result in my employment being terminated.

Nov.12, 2020
SIGNATURE. William Howard DATE _

PRINT NAME William Howard

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