CAREER EXPLORATIONS

Employment Application

APPLICANT INFORMATION
Last Name

Foster

Street
Address

First

Dat
e
Apartment/Unit
#

Danielle

M.I.

26751 Roberta St

City

Roseville

State

Phone

(586) 596-6472

E-mail Address

Date
Social Security
5-12-16
Available
No.
Position Applied
Occupational Therapist
for
Are you a citizen of the United States?
Have you ever worked for this
company?
Have you ever been convicted of a
felony?

MI

ZIP

danielle.foster16@students.fraserk12.org
Desired
Wage:

xxx-xx-xxxx

YES X

NO

If no, are you authorized to work in the

U.S.?

YES

NO X

If so, when?

YES

NO X

If yes,
explain

School 1

Fraser High School

Address

34270 Garfield Rd, Fraser, MI 48026

From

1
2

YES

NO X

School 2

Did you
graduate?

N/A

From
School 3

2016

$8.15

YES

Address
To

Did you
graduate?

N/A

From

YES

NO

Address
To

Did you
graduate?

YES

N/A

48066

EDUCATION (PLEASE LIST MOST RECENT FIRST)

To

3-17-1998

NO

REFERENCES
Please list three professional references you have known at least 3 years and are not friends or relatives.
Full Name

Brian Bartolomei

Relationshi
p

Company

Road Dog Computers

Phone

Address

19431 Broadacres, Clinton Township, MI 48038

Full Name

Mark Schwartz

Relationshi
p

Company

Fuddruckers

Phone

Address

13883 Lakeside Cir, Sterling Heights, MI 48313

Full Name

Thaier Mukhtar

Relationshi
p

Company

De La Salle History Teacher

Phone

Address

14600 Common Rd, Warren, MI 48088

Friend

(586) 943-0326

Employer

(586) 566-7002

Coach

(586) 344-6031

NO

PREVIOUS EMPLOYMENT
Company

Fuddruckers

Phone

Address

13883 Lakeside Cir, Sterling Heights, MI 48313

Superviso
r

Job Title

Expo

Responsibilities

Starting
Salary

Nov,
2015

Company

Mark Schwartz
Ending
Salary

$7.45

$8.15

Stock and label food, accurately deliver orders, and quickly prepare the food to be served

To
Prese
Reason for Leaving
nt
May we contact your previous supervisor for a
reference?
From

(586) 566-7002

N/A
YES X

N/A

NO
Phone
Superviso
r

Address
Starting
Salary

Job Title

Ending
Salary

Ending
Salary

Responsibilities
From

To

Reason for Leaving

May we contact your previous supervisor for a

reference?
Company

YES

N/A

NO
Phone
Superviso
r

Address
Starting
Salary

Job Title

Responsibilities
From

To

Reason for Leaving

May we contact your previous supervisor for a

reference?

YES

NO

MILITARY SERVICE
Branch

N/A

Rank at Discharge

From

To

Type of Discharge

If other than honorable,

explain

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

Danielle Foster

Date

5-11-16