Application For Employment (Pre-Employment Questionnaire) Form
ADVERTISEMENT
1
2
3
4Please print all information
An Equal Opportunity
requested except signature.
Employer
APPLICATION FOR EMPLOYMENT
(Pre-Employment Questionnaire)
REFERRING MANAGER__________________________
DATE
_________________
PERSONAL INFORMATION
Name
________________________________________________________________________________________
Last
First
Middle
Maiden
Phone
___________________________
__
Home Phone
Cell Phone
Present address _____________________________________________________________________________________
Number
Street
City
State
Zip
How long?
Permanent address ____________________________________________________________________________________
Number
Street
City
State
Zip
How long?
If under 18, please list age ____________________ Email Address ____________________________________________
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? ____ Yes ___ No
EMPLOYMENT DESIRED
Date you can start ________________________
Position ____________________ Salary Desired ______________
Employment desired:
Are you employed now? ________ May we contact? _________
FULL-TIME ONLY
PART-TIME ONLY
When available for work? ________
FULL- OR PART-TIME
Ever applied to this company before? ______
When? _______________ Where? _____________________________
EDUCATION
TYPE OF SCHOOL
NAME OF SCHOOL
LOCATION
YEARS
MAJOR & DEGREE
COMPLETED
(City & State)
High School
College
Bus. or Trade
School
Professional
School
No
Yes
HAVE YOU EVER BEEN CONVICTED OF A CRIME?
* If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were
______________________________________________
committed, sentence(s) imposed, and type(s) of rehabilitation.
____________________________________________________________________________________________
*A conviction record will not necessarily be a bar to employment.
MARC Radio Employment Application; p1
Revised 9/6/2013
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business