Harker Heights Employment Application Form Page 3
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1
2
3
4Company Name and Address
Supervisor
Telephone
(
)
Employed - (month and year)
3
From
To
State Job Title and Describe Your Work
Weekly pay
Start
Last
Reason for Leaving
Company Name and Address
Supervisor
Telephone
(
)
Employed - (month and year)
4
From
To
State Job Title and Describe Your Work
Weekly pay
Start
Last
Reason for Leaving
DO NOT CONTACT
We may contact the employers listed
above unless you indicate those you do
Employer Number(s)
Reason
not want us to contact.
Please provide any information you feel we should know when we contact your previous employers
Comments regarding lapses in employment, if applicable
Have you ever been discharged from a job or forced, or asked to resign?
Yes
No
If yes, provide explanation
Machinery and equipment you can operate?
If applying for an office position:
Typing: approximate WPM
Shorthand: approximate WPM
Business machines you can operate:
Computer experience (list software):
3
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Parent category: Business