SUMMER COLLEGE INTERNSHIP
______________________________________________________________________________________________________________
PRIOR EMPLOYMENT
(Start with most recent employer)
Employer:
Phone:
From:
To:
(
)
Address:
City, State, Zip
Position:
Duties:
Supervisor’s Name
Starting Salary/Wages
Reason for Leaving:
Final Salary/Wages
Employer:
Phone:
From
To:
(
)
Address:
City, State, Zip
Position:
Duties:
Supervisor’s Name
Starting Salary/Wages
Reason for Leaving:
Final Salary/Wages
Employer:
Phone:
From
To:
(
)
Address:
City, State, Zip
Position:
Duties:
Supervisor’s Name
Starting Salary/Wages
Reason for Leaving:
Final Salary/Wages
MILITARY SERVICE
BRANCH OF SERVICE
FROM
TO
RANK & DUTIES
DATE DISCHARGED
PERSONAL REFERENCES
YEARS
NAME
ADDRESS
KNOWN
TELEPHONE
The above information is true and complete to the best of my knowledge. Should I be employed by the Company, any misrepresentation or false
statement contained herein may be considered cause for possible dismissal. The Company has my permission to obtain all necessary information
from the references I have listed, or any other sources, concerning my prior employment, personal history or credit standing and I release all parties
from any possible damages resulting from disclosing such information with or without prior written notice to me. I reserve the right to know the
names and addresses of any investigative agencies used in order that I may learn the information contained in any reports furnished to the
Company.
I understand this application does not constitute an employment contract of any kind. Should I be employed by the Company, I may resign such
employment at any time at my discretion with or without prior notice and the Company may terminate my employment at any time at their