21THINGS4STUDENTS

Employment Application

APPLICANT INFORMATION
Last Name Crisan First Jessie M.I. Date 10-9-17

Street Address 4774 Fox Hill Dr. Apartment/Unit # ???????

City Sterling Heights State Michigan ZIP 48310

Phone 586-495-5524 E-mail Address jcris1120@gmail.com

Date Available 10-7-27 Social Security No. 840189 Desired Wage: $100,000 per month

Position Applied for E-Business Manager

Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? YES NO

Have you ever worked for this company? YES NO If so, when?

Have you ever been convicted of a felony? YES NO If yes, explain

EDUCATION (PLEASE LIST MOST RECENT FIRST)

School 1 Jefferson Elementary school Address 37555 Carol Dr, Sterling Heights, MI 48310
20
From To 2015 Did you graduate? YES NO
08
School 2
Grissom Middle School Address 35701 Ryan Rd, Sterling Heights, MI 48310
20
From To 2018 Did you graduate? YES NO
15
School 3 N/A Address N/A
N/
From To N/A Did you graduate? YES NO N/A
A

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

Full Name Joseph E. Konal Relationship Principal

Company Warren Consolidated School Phone (586) 825-2560

Address 35701 Ryan Rd, Sterling Heights, MI 48310

Full Name Daniel Neamtu Relationship Leader

Company Computer and technology / Music Phone 313-263-3637

Address 4637, Central Dr., Dearborn ,MI, 48120

Full Name Holly Haffner Relationship Teacher

Company Warren Consolidated School Phone 586-268-3267

Address 35701 Ryan Rd, Sterling Heights, MI 48310

PREVIOUS EMPLOYMENT

Company N/A Phone N/A

Address N/A Supervisor N/A

Job Title N/A Starting Salary N/A Ending Salary N/A

Responsibilities N/A

From N/A To N/A Reason for Leaving N/A

May we contact your previous supervisor for a reference? YES NO N/A

Company N/A Phone N/A

Address N/A Supervisor N/A

Job Title N/A Starting Salary N/A Ending Salary N/A

Responsibilities N/A

From N/A To N/A Reason for Leaving N/A

May we contact your previous supervisor for a reference? YES NO N/A

Company N/A Phone N/A

Address N/A Supervisor N/A

Job Title N/A Starting Salary $ N/A Ending Salary $ N/A

Responsibilities N/A

From To
Reason for Leaving N/A
N/A N/A

May we contact your previous supervisor for a reference? YES NO N/A

MILITARY SERVICE

Branch N/A From N/A To N/A

Rank at Discharge N/A Type of Discharge N/A

If other than honorable, explain N/A

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 Jessie Crisan Date 10-13-17