Application For Employment Page 2
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45. Type of Employment sought __Regular full time __Regular part-time __Temporary __ As needed
6. Which of these times are you available? Days ___yes ___ no
Nights ___yes ___no
Weekends ___yes ___no
Holidays ___yes ___no
7. Indicate hours you are available to work on the following days (or circle Anytime, if you have no
restrictions)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
_____to_____
____to____
____to____
____to____ ____to____ ____to____ ____to____
Anytime
Anytime
Anytime
Anytime
Anytime
Anytime
Anytime
8. List names of relatives currently employed by this company____________________________________
__________________________________________________________________________________
EXPERIENCE
List below all present and past employment, beginning with your most recent employer:
1. Employer____________________________________ Starting salary ____________ per hour or week
Address_____________________________________Last salary________________per hour or week
Kind of Business_______________________________Supervisor_____________________________
Job Title____________________________Reason for leaving: ____Quit ___Discharged ____Retired
Dates Employed: From__________________ to________________
For job reference, call_________________________________ at _______________________
___ Please do not contact this employer. Why?_____________________________________________
2. Employer____________________________________ Starting salary ____________per hour or week
Address_____________________________________Last salary________________per hour or week
Kind of Business_______________________________Supervisor_____________________________
Job Title____________________________Reason for leaving: ___Quit ___Discharged ___Retired
Dates Employed: From__________________ to_________________
For job reference, call__________________________________ at _______________________
___Please do not contact this employer. Why?_____________________________________________
3. Employer____________________________________ Starting salary____________per hour or week
Address_____________________________________Last salary_______________per hour or week
Kind of Business_______________________________Supervisor_____________________________
Job Title____________________________Reason for leaving:___Quit ___Discharged ___Retired
Dates Employed: From_________________ to __________________
For job reference, call__________________________________at ________________________
___Please do not contact this employer. Why?_____________________________________________
In the following space, please describe briefly why you are applying for this position:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
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Parent category: Business