Sample Employment Appli PLEASE PRINT ALL INFORMATION REQUESTED EXCEPT SIGNATURE APPLICATION FOR EMPLOYMENT "APPLIGANTS MAY BE TESTED FOR ILLEGAL DRUGS PLEASE COMPLETE PAGES 1-4, paTE Name Wilfoy HC 0d Present address 123 Comrn ME 8422 rn oy saa IE Col Telephone (51%) Wunder 18, please list age ARP Days/hours avaliable to work Position applied for (1)_(' 0. Vy UU (dean i y No Pref Thur and salary desired (2). 00 Mon. Fi (Be specific) ej—— Wed Sun qt How many hours can you work weekly? _ (Can you work nights? Employment desied — / FULLTIME ONLY _PART-TIME ONLY _FULL- OR PART-TIME When available for work? Al! “Tuna TYPE OF SCHOOL | NAME OF SCHOOL] LOCATION NUMER OF YEARS (Complete mating COMPLETED High Seal nena z CaaS Bus or Trade Schoad Professional School HAVE YOU EVER BEEN CONVICTED OF A CRIME? No dyes Ityes, explain number of convition(s) nature of ofense(s) leading to conviction(s), how recently such offense(s) washwere commited, sentence(s) imposed, and type(s) of rehabilitationPLEASE PRINT ALL INFORMATION REQUESTED EXCEPT SIGNATURE. APPLICATION FOR EMPLOYMENT DOvOUNAVEADRVERSLICENSE? \.vos __no ‘What is your means of transportation to work? _VOF\4 yt Diver's license. number S216 \2B IA State ofissue (VT _Y Operator Commercial (CDL) __ Chauffeur Expiration date _ GS / 7G/ 1e Have you had any accidents during the past three years? How many? MD Have you had any moving veltons curing the past three years? How Many? DIC (OFFICE ONLY _Yes Yes Word _Yes typrg = No wm t0key “No Processing No. _ WPM Personal Yes _PC otter Computer No Mac Shiis Pease list two references other than relatives or previous employers, name C al Ory name LG. 4 Postion positon Owner of Raver bork otrtdeors company Wd Ht company P,P. Address $3 Ele MY address 13 Ei thun St Rlag'r z Telephone (3!) “a(yb 6S Telephone Git) GOT ‘An application form sometimes makes it ficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualfications forthe specific position for which you are applying RCP le GENOPLEASE PRINTALL INFORMATION REQUESTED EXCEPT SIGNATURE APPLICATION FOR EMPLOYMENT MILITARY. HAVE YOU EVER BEEN IN THE ARMED FORCES? Vives _ No ARE YOU NOW A MEMBER OF THE NATIONAL GUARO? va Ns specaty Yo (aining Date Entered 05/7 Discharge Dato te Work ioaso list your work exprinoo forte past five years begining wth your most recent job held Experience __Ityou were self-employed, gie frm name, Attach additional sheets if necessary. Name of employer Name ofiast | Employment dates | Pay or salary Address supervisor City, State, Zip Code Phone number 5] stat 7 57 Final i254, \ ie Too bs QO/I Your last job tile Reason for leaving (be specific) List he jobs you held, duties performed, skill used or learned, advancements or promotions while you worked at this no Ay G 1 lod: >I Chin bed prawn Weres, Staded le Wa U : hig cand CONRBY Nane of employer Name oft | Employment dates | Pay or salary arose veveer City, Stato, Zip Code Prone numbor From start To Final Your tast sob Te Reason for leaving be specific) List the jobs you held, duties performed, skis used or learned, advancements or promotions while you worked at this ‘company.