Application For Employment Part Time Bookkeeper

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Gold copy
Revised 9/2/15
APPLICATION FOR EMPLOYMENT – Part-Time Bookkeeper
®
SEASONAL SPECIALTY STORES
120 Route 101A, Amherst NH 03031
Phone 603-880-8471
Fax 603-595-8497
An equal opportunity employer
Name
Date
Street
Telephone
City
State
Zip
Email
Are you responding to a help wanted advertisement? In
Sign
Newspaper:
Magazine ________________________________
Recommendation:
Website: _________________________________
Other: _______________________________
What kind of work would you like?
Part Time
Full Time
What special qualifications do you have?
Are you 18 years or older?
Yes
No Are you 16 years or older?
Yes
No Will you need to get a
work permit?
Yes
No Are you prevented from lawfully becoming employed in this country because of
visa or immigration status?
Yes
No Have you ever served in the military including National Guard or
Reserves?
Yes
No If so, what branch?
Rank
Discharge date
Have you ever been convicted of a felony?* Yes No Details
*A felony conviction will not automatically prevent you from consideration for the job so please explain the full and specific details,
including additional sheets if necessary, so that an informed decision on your application may be made.
Are you prohibited from contact with minors? Yes
No
Details
#Years
Did you
School
Attended
Name of School
City
Course
Graduate?
High
College
Other
Experience
Name & Address of
Date
Date
Starting
Final
Reason
For Leaving
Company
Started
Ended
List Your Duties
Salary
Salary
References: Name
Street
City
State
Zip
Occupation
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S:Forms2015ookkeeper application.xacb.doc

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