Employment Application

Full Name (Last, First, MI)

Phone

Street Address

Social Media Links (Please place all social media links available here)

Date Available

Position Applied for

Desired Salary

Have you ever worked for this company before?

Yes No

If yes, when?

Monday Availability: (example: 10 AM - 7 PM or N/A if unavailable)

Tuesday Availability:

Wednesday Availability:

Thursday Availability:

Friday Availability:

Saturday Availability:

Sunday Availability:

Education Level

High School Some College College Degree

Name of schools, dates attended, and degrees earned (If applicable)

Reference #1 Name:

Reference #1 Relationship:

Reference #1 Company:

Reference #1 Phone:

Reference #1 Email:

Reference #2 Name:

Reference #2 Relationship:

Reference #2 Company:

Reference #2 Phone:

Reference #2 Email:

Previous Employement (Job 1) Company name:

Company 1 Phone:

Company 1 Supervisor:

Company 1 Address:

Company 1 Job Title:

Company 1 Start Date:

Company 1 End Date:

Company 1 Responsibilities:

May we contact this employer?

Yes No

Previous Employement (Job 2) Company name:

Company 2 Phone:

Company 2 Supervisor:

Company 2 Address:

Company 2 Job Title:

Company 2 Start Date:

Company 2 End Date:

Company 2 Responsibilities:

May we contact this employer?

Yes No

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I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. By providing my phone number and email, I agree to receive text messages and emails from the business.

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