Sample Employment Application Form
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1
2
3Employment Application Form
PLEASE PRINT ALL
INFORMATION REQUESTED
EXCEPT SIGNATURE
APPLICATION FOR EMPLOYMENT
APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS
Applications are considered without regard to race, color, religion, gender, national origin, age, marital or veteran
status, or the presence of a non-job related medical condition or handicap
PLEASE COMPLETE PAGES 1-3.
DATE _____________________
Name
_________________________________________________________________________________
Last
First
Middle
Maiden
Present address
_______________________________________________________________________________
Number
Street
City
State
Zip
How long _____________
Social Security No. ___________________
Telephone (___)______________________
If under 18, please list age _______
Days/hours available to work
Position applied for (1) _________________
ANY _________
(Be specific)
Thur ___________
Mon__________
Fri
Tue __________
Sat____________
Wed__________
Sun ___________
How many hours can you work weekly? _____
Can you work nights? ________
FULL-TIME ONLY
PART-TIME ONLY
FULL- OR PART-TIME
Employment desired
When are you available for work? ______________________
_____________________________________________________________________________________________________
TYPE OF SCHOOL
NAME OF SCHOOL
LOCATION
NUMBER OF YEARS
MAJOR &
(Complete mailing
COMPLETED
DEGREE
address)
High School
College
Bus. or Trade School
Professional School
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Parent category: Business