Employment Application Form

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Application for Employment
Full Name: _______________________________________ Date: ________________
Present Address: _________________________________________________________
Permanent Address:_______________________________________________________
Telephone Number: ______________________ Email: ______________
Referred By:____________________________
Are you 18 years old or older? YES / NO
Have you ever been convicted of a Felony? YES / NO
Are you either a U.S. citizen or an alien authorized to work in the U.S.? YES / NO
Do you have reliable transportation ___________________

Position Desired
Position: ________________ Start Date Available: ___________ Salary Desired: _________
Are you employed now? YES / NO

If so, may we inquire your present employer? YES / NO

Are you legally authorized to work in the U.S.? YES / NO

Have you ever applied to this company before? YES / NO
If so, When?_______________
Reason(s) for leaving: ___________________________________________________________
How did you learn about this opening? ______________________________________________
Education History
High School Name/Location: ___________________________________Yrs. Attended_______ Did you
graduate?__________________
College:____________________________________ Yrs. Attended__________________ Did you
graduate?___________________
Trade, Business, or correspondence school______________________ Yrs. Attended________ Did you
graduate?___________________
General Information

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