Employment Application

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Applicant Information

Name

First M.I. Last

Today's Date

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Date available to start

Social Security Number

Desired Salary

Position Applied For

Are you a citizen of the United States?

Yes

No

Are you authorized to work in the U.S.?

Yes

No

Have you ever worked for this company?

Yes

No

If yes, when?

Have you ever been convicted of a felony?

Yes

No

If yes, explain

Education

Name of High School

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Attended From

To

Did you Graduate?

Yes

No

Diploma

Name of College

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Attended From

To

Did you Graduate?

Yes

No

Degree

Other Schooling

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Attended From

To

Did you Graduate?

Yes

No

Degree

Military Service

Have You Served in the Military?

Yes

No

Branch

Served From

To

Rank at Discharge

Type of Discharge

If other than honorable, explain

References

Please list three professional references

First Reference Full Name

Relationship

Company

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Second Reference Full Name

Relationship

Company

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Third Reference Full Name

Relationship

Company

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous Employment

Company Name

Name

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Supervisor Name

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

Second Company Name

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

Third Company Name

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

End Date

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

More Information

In order to get to know you better, please complete/fill out the following questionnaire in 20 words or less for each question, please complete/fill out the following questionnaire in 20 words or less for each question:

What excites you most about working for Cut Above Enterprises?

What is one thing you do really well?

How did you learn the skill listed above?

How would you describe yourself with three adjectives?

What do you like most about your current/previous job?

What do you like least about your current/previous job?

What habits/disciplines do you strive to use in your daily life?

If you were hiring for this job what qualities would you look for?

What do you think is your greatest strength and your greatest weakness?

Where do you see yourself in 5 years?

What are some of your favorite leisure time activities?

Share something you would like us to know about you.

Disclaimer and Signature

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.

Signature

Date

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