Monroe

C ounty E nterprises
EMPLOYMENT APPLICATION

Provide all information requested by printing in ink or keying. Use the tab key to move through the document.

GENERAL INFORMATION
Name (Last) (First) (Middle Home Telephone
Initial) () -
Address (Mailing Address) (City) (Stat (Zip) Cell Phone
e) () -
E-mail Address

POSITION
Position or Type of Employment Desired Will Accept:
Part-Time Full-Time
Have you ever been employed at the Monroe County Enterprises before?
Yes No
Date Available:
Are you able to perform the essential functions of the job you are applying
for, with or without reasonable accommodation? Yes No
Salary Desired
$___________ / monthly

EDUCATION AND TRAINING

Beginning
School or
Name and Address of School Major/Study & Ending Degree
Institution
Year
High School Mary Persons High School ________________ Pathway 2016-2020
College Name 2020-2024 BA
College Address
College City &
State
Special Abilities and Skills (3 tasks from CIS) Professional Certificates or Licenses Held (Yes
or No)

Extracurricular Activities (at least 2 areas of Present Community and Professional

interest/hobby) Affiliations (at least 2)

Languages Read, Written or Spoken Fluently Other Than English

REFERENCES
List below names and addresses of persons who are qualified to answer questions concerning your fitness for the
position(s) you seek other than those listed in your credential file. (3 classmates from THIS class. Get a sheet of
paper and Go to the L Drive folder REFERENCES jot down the information and come back to this
document and type it in.)

Name Position Address Telephone

AN EQUAL OPPORTUNITY EMPLOYER



WORK EXPERIENCEMost recent first, include voluntary work and military experience
Employer Telephone Number () - From (Month/Year)
Address October/2022
Job Title Number Employees Supervised 2 To (Month/Year)
Specific Duties (Maximum 350 characters) March/2024
lifting heavy objects assembling products operating heavy machinery Hours Per Week
budget reports 15-20
taking pictures filing data entry faxing counseling Last Salary
washing/cleaning vehicles $____/hour

typing copying recording cleaning handling various reports

running errands

assisting the director/boss repairing equipment inventory control

customer service Supervisor
S. Dorsey
driving/delivering ordering/buying supplies cutting/washing hair
answering phone

supervising 1 / 2 stocking organizing

Reason For Leaving Graduated College May We Contact This Employer? Yes
No

I certify the information contained in this application is true, correct, and complete. I understand that, if
employed, false statements reported on this application may be considered sufficient cause for dismissal.
You will enter an electronic signature. Click in the gray box beside Signature of Applicant select any
script or cursive style font type your first and last name (capitalize the first letter of each).

Signature of Applicant: Date:

AN EQUAL OPPORTUNITY EMPLOYER