Application For Employment Form

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Application for
Employment
GENERAL INFORMATION
PLEASE PRINT
Yes
Last Name
First Name
Middle
Are you 18 yrs. of
Date of Application
No
age or older?
Street Address
City
State
Zip
Position/Type of Work Desired
Home Telephone
Work Telephone
Cell Phone
e-Mail Address (if any)
(
)
(
)
(
)
 Full Time
 Part Time
Salary Expected
Date available to start work
 Contract
 Internship
 Yes
 No
Have you ever plead “guilty” or “no contest” to, or been convicted of a crime?
If yes, give details & dates of each. A conviction record will not necessarily be a bar to employment. Factors such as age at time of
offense, seriousness and nature of the violation and rehabilitation will be taken into account.
EDUCATION
You must complete all applicable items, even if you have already provided a resume
Highest Education Level
Less Than HS Graduate
Technical School
Some Graduate School
Doctorate (Prof.)
HS Graduate or Equivalent
2-Year College Degree
Masters Level Degree
Doctorate (Acad.)
Bachelors Level Degree 
Some College
Juris Doctorate
Post-Doctorate
Name of High School
No. of years completed__________
 No
City, State
Graduated?
Yes
Name of College, University or Vocational School (most recent)
No. of years completed__________
 No
City, State
Graduated?
Yes
Major
Date
Name of College, University or Vocational School)
No. of years completed__________
 No
City, State
Graduated?
Yes
Major
Date
Name of College, University or Vocational School
No. of years completed__________
 No
City, State
Graduated?
Yes
Major
Date
SPECIAL SKILLS
Computer Skills:
Keyboarding Skills:
 MS Word  MS Excel  MS Access  MS PowerPoint  MS Outlook  Other __________
 Yes  No
WPM:
Other qualifications or training including business licenses (all applicants):
 Yes
 No
Are you able to provide proof of your right to be employed in the United States?
 Yes
 No
Have you ever applied for employment at Mercury Paper, Inc.?
Have you ever worked for Mercury Paper, Inc.?
If yes, what
Dates of Employment:
Department?
 Yes
 No
Do you have any friends or relatives working at Mercury Paper, Inc.? If yes, please list name(s):
 Yes
 No
Are you willing to work overtime?
 Yes
 No
Are you willing to travel?
 Yes
 No
Do you have adequate transportation that will enable you to get to work during your scheduled hours?

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