Personal data job application
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This document is an employment application that collects personal and job-related information from applicants. It requests contact details, education history, employment history including past positions and salaries, availability, and professional references. The applicant is asked to disclose any prior felony convictions and sign to acknowledge the truth and completeness of the application, with notice that false information could result in dismissal.
Personal data job application
- 1. Employment Application 2008-2009 Personal Data Name_____________________________________ Date______________________________________ Permanent Address_________________________ Phone Number______________________________ Social Security No____________________________ Job Interest Position Applied For_____________________________________ Indicate Availability To Work: Full Time/Part Time/Days/Evenings Available To Start_______________________ Referral Source__________________________________ Have you ever been employed by us before: Yes/No Are you legally permitted to work in this country: Yes/No Are you above the minimum working age of _______: Yes/No Have you ever been convicted of a felony: Yes/No If yes please explain__________________________________________________________________ Education Type Name and Location Courses Taken Graduated High School College Page4 University
- 2. Employment Application 2008-2009 Business, Trade, Technical Other Employment History (List previous employers beginning with most recent) Company Name______________________________________________________________ Business Type_______________________________________________________________ Address____________________________________________________________________ Supervisor _________________________________________________________________ Supervisor Title__________________________________________________________________ Position____________________________________________ Full Time/Part Time/Temporary Employment Dates (mm/yy):From __ __/__ __To__ __/__ __ Ending Salary:_________________ Reason for Leaving:____________________________________ May we contact: Yes/No Company Name_______________________________________________________________ Business Type_________________________________________________________________ Address______________________________________________________________________ Supervisor Page4 _____________________________________________________________________
- 3. Employment Application 2008-2009 Supervisor Title__________________________________________________________________ Position____________________________________________ Full Time/Part Time/Temporary Employment Dates (mm/yy):From __ __/__ __To__ __/__ __ Ending Salary:_________________ Reason for Leaving:___________________________________ May we contact: Yes/No Company Name________________________________________________________________ Business Type__________________________________________________________________ Address______________________________________________________________________ Supervisor___________________________________________________________________ Supervisor Title__________________________________________________________________ Position____________________________________________ Full Time/Part Time/Temporary Employment Dates (mm/yy):From __ __/__ __To__ __/__ __ Ending Salary:___________________ Reason for Leaving:______________________________________ May we contact: Yes/No Company Name________________________________________________________________ Business Type_________________________________________________________________ Address______________________________________________________________________ Supervisor____________________________________________________________________ Supervisor Title________________________________________________________________ Position____________________________________________ Full Time/Part Time/Temporary Page4
- 4. Employment Application 2008-2009 Employment Dates (mm/yy):From __ __/__ __To__ __/__ __ Ending Salary:__________________ Reason for Leaving:___________________________________ May we contact: Yes/No Professional References (Please list three professional references below Name Company and Title Business Telephone Home Telephone I declare that the facts set forth in my application are true and complete.I understand that if I am employed, false information stated in this application shall be sufficient cause for dismissal. Applicant Signature:____________________________________________________________ Date:___________________________ Page4