Application For Employment Page 2
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2EMPLOYMENT HISTORY
Start with your present or most recent job.
Employer:
Dates Employed:
From:
To:
Address:
Telephone Number:
Hourly Rate:
Starting:
Final:
Job Title:
$
$
Supervisor:
Reason for Leaving:
Work Performed:
Employer:
Dates Employed:
From:
To:
Address:
Telephone Number:
Hourly Rate:
Starting:
Final:
Job Title:
$
$
Supervisor:
Reason for Leaving:
Work Performed:
Employer:
Dates Employed:
From:
To:
Address:
Telephone Number:
Hourly Rate:
Starting:
Final:
Job Title:
$
$
Supervisor:
Reason for Leaving:
Work Performed:
PERSONAL REFERENCES
(Required)
NO RELATIVES – please select people who can be objective about your work skills or capabilities.
Coaches, teachers, pastors, etc. are good suggestions.
Name
How do you know this person?
Telephone Number
APPLICANT’S STATEMENT
I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 45 days.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.
___________________________________________________________________________________________________________________
Signature of Applicant
Date
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Parent category: Business