Application Form For Employment - Today Job Page 3

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EDUCATION
Circle highest grade completed:
Elementary
6 7 8
High School
9 10 11 12
College
13 14 15 16 17 18 19
HIGH SCHOOL
Name of School
City
State
q
q
DIPLOMA OR GED RECEIVED:
Yes
No
COLLEGE: (List all, whether or not degree was obtained)
MAJOR FIELD
MINOR FIELD
DEGREES/
NAME
LOCATION
RECEIVED?
OF STUDY
OF STUDY
CERTIFICATION
q
q
May we contact schools you attended to verify the above information?
Yes
No
SKILLS AND QUALIFICATIONS
Please check all that apply:
Ò
q
q
q
q
Bookkeeping
Microsoft Excel
Cash Office
Fork-Lift Operator
Ò
q
q
q
q
Calculator
Microsoft Outlook
Cashier
General Warehouse
Ò
q
q
q
q
Data Entry
Microsoft Power Point
Customer Service
Inventory Clerk
Ò
q
q
q
q
Financial Reports
Microsoft Word
Merchandiser
Maintenance
q
q
q
General Clerical
Sales Associate
Packer
q
q
Payroll
Stock Room
q
Statistical Typing
q
Switchboard
q
q
Typing
Typing Speed:
Other:
List any special training, experience, qualifications or skills relevant to the position for which you are applying:
PROFESSIONAL REFERENCES
Provide name, work relationship, email address (if available) and telephone number of three supervisors/managers or other
professional references that are not related to you:
1)
Name
Work Relationship
Email Address
Telephone Number
2)
Name
Work Relationship
Email Address
Telephone Number
3)
Name
Work Relationship
Email Address
Telephone Number
q
q
May we contact any of your references?
Yes
No
If not, who and why?
SECURITY
q
q
Have you been convicted of a felony in the past seven (7) years?*
Yes
No
In answering this question, you are not obligated to disclose any convictions that have been sealed, annulled, expunged, dismissed, erased, impounded, cleared, vacated, or
*
officially pardoned.
Before
answering this question, please review the specific state exceptions on the following page.
If yes, provide details including date, location (city), nature of offense and disposition:
NOTE: A conviction record will not necessarily be a bar to employment. This information will only be used for job-related purposes consistent with applicable law. Failure to
honestly answer this question will result in discontinued consideration of your application or termination of your employment.
q
q
Have you ever taken any merchandise, money, or property from an employer without permission?
Yes
No
If yes, provide details:

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