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Employment Application

Your Information

Name*
Address*
Are you under 18?*
MM slash DD slash YYYY

Education

High School*
Name of School
Last Grade Completed
Grade Point Average
Sport/Activities
Degree
Date Graduated
College
Name of School
Last Grade Completed
Grade Point Average
Sport/Activities
Degree
Date Graduated

Work Experience

List most recent first
Do you have any previous work experience?*

Company 1

Address
Dates Employed*
To
From
Supervisor Name

Company 2

Address
Dates Employed*
To
From
Supervisor Name

Company 3

Address
Dates Employed*
To
From
Supervisor Name

Personal References

List References*
Name
Phone
Years Known
 

Availability

MM slash DD slash YYYY
Days and Times for Availablity
Day of the Week
Start Time
End Time
 
Holidays you are available to work*

Please rate yourself honestly on the following characteristics or scenarios.

NeverRarelySometimesOftenAlways
I am late for scheduled appointments
When working in groups, I take on more than my share.
I ask for help when needed.
As a customer, my expectations should be exceeded.
I feel successful.

I certify that I have read and fully completed this application and the information contained within this application is correct to the best of my knowledge. I also understand that any false information is grounds for dismissal.

MM slash DD slash YYYY
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