APPLICATION FOR EMPLOYMENT

We are an equal opportunity employer, dedicated to a policy of nondiscrimination in employment

on any basis including race, color, age, sex, religion, disability, or national origin.
APPLICANT INFORMATION
Last Name

Vang

Street Address

First

M.I.

2418 S. Argyle Ave

City

Fresno

Phone
(s)

559-485-0524

Date Available

Dat
e
Apartment/Unit
#

Chelsea

State
E-mail
Address
Last four
digits of SSN

June 2016

Position Applied
Cashier
for
Are you a citizen of the United
States?
Have you ever worked for this
company?

YES

NO

YES

NO

Are you employed now?

YES

NO

Type of Employment

Full-time

CA

ZIP

4/2/2016

93727

vg.chelsea@gmail.com
XXX XX 6542

Desired Salary

If no, are you authorized to work in the

U.S.?
If so,

when?
If so, may we contact your employer?
Part-time

Summer

$20,000

YES

NO

YES

NO

Temporary

EDUCATION AND OFFICE SKILLS

High
School

Sanger High School

From

201
2

College
or Trade
School

UC Davis

From

201
6

Years of Typing
Experience

To

To

2016

2020

Computer Software and

Hardware Experience

Address

Did you
graduate?

Did you
graduate?

Words Per
Minute

60

1045 Bethel Ave, Sanger, CA 93657

YES

NO

Address

1 Shields Ave, Davis, CA 95616

YES

NO

Other Office
Equipment
Used

Degree
Printer

Copier

Wild Water Adventure Park

Phone

Address

11413 E Shaw Ave, Clovis, CA 93619

Name and
Position of
Supervisor

Job Title

Cashier

Starting
Salary

(559) 299-945
Dave Wright
Ending
Salary

$150.00

Handeling money, customer service, food preparation

5/201
9/20
To
Reason for Leaving
5
15
May we contact your previous supervisor for a
reference?

WFSCT (09-20-2010)

Scanner

Calculator

(LIST PRESENT OR MOST RECENT POSITIONS

Compan
y

From

Fax

High School computer class

EMPLOYMENT HISTORY
FIRST)

Responsibilities

Starting school, seasonal job

YES

NO

$220.00

EMPLOYMENT HISTORY

(CONTINUED)

Compan
y

N/A

Phone

Address

Name and
Position of
Supervisor

Job Title

Starting
Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a

reference?
Compan
N/A
y
Address

Job Title

From

To

YES

Reason for Leaving

May we contact your previous supervisor for a

reference?
Compan
N/A
y
Address

Job Title

From

To

YES

Reason for Leaving

May we contact your previous supervisor for a

reference?

Phone

Ending
Salary

Ending
Salary

Starting
Salary

NO

NO

Phone

Name and
Position of
Supervisor

Responsibilities

Ending
Salary

Starting
Salary

Name and
Position of
Supervisor

Responsibilities

YES

NO

MILITARY SERVICE
Branch

N/A

Rank at Discharge

From

If other than honorable,

explain

Type of Discharge

To

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.
Signatur
e

WFSCT (09-20-2010)

Date