Completing A Job Application

• Know all important names and addresses and how to spell them correctly.

• Have all important phone numbers handy.

• Know an appropriate starting pay to request.

• Have a picture ID and your Social Security Card with you.

• Have a dark blue or black ink pen with you.

• Know at least two references who have given you permission to use their names.

• Complete application neatly, completely, correctly.

• Read all instructions carefully.

• PRINT unless told otherwise.

• Answer truthfully.

• Read over the form before signing and giving it to the appropriate person.

SAMPLE JOB APPLICATION FORM

APPLICATION

FOR EMPLOYMENT

NAME (LAST)

(FIRST)

(MIDDLE)

SOCIAL SECURITY NO.

PRESENT ADDRESS CITY

STATE

ZIP

AREA CODE

TELEPHONE NO.

PERMANENT ADDRESS (IF DIFFERENT FROM ABOVE)

AREA CODE

TELEPHONE NO.

POSITION APPLIED FOR

DATE AVAILABLE

SALARY OR WAGE DESIRED $

IS RELOCATION NECESSARY?

REFERRED BY

Y N

U.S. CITIZEN?

IF NOT A U.S. CITIZEN, LIST VISA NUMBER AND EXPIRIATION DATE

Y

N

NUMBER

DATE

WITHIN THE LAST 5 YEARS HAVE YOU BEEN CONVICTED OF A FELONY?

PREVIOUSLY BEEN EMPLOYED HERE?

Y

N

Y

N

IF YES, GIVE DETAILS ON BACK PAGE

IF YES, GIVE DETAILS ON BACK PAGE

EDUCATION

INSTITUTION NAME

DID YOU

MAJOR FIELD

CLASS

AND ADDRESS

GRADUATE?

OF STUDY

STANDING

HIGH SCHOOL

COLLEGE OR UNIVERSITY

GRADUATE STUDY

OTHER

EMPLOYMENT

PLEASE LIST ALL EMPLOYMENT STARTING WITH MOST RECENT, ACCOUNT FOR ALL PERIODS

RECORD:

(INCL. U.S. ARMED FORCES, PERIODS OF UNEMPLOYMENT, ETC.)

LIST YOUR MOST RECENT

MAY WE CONTACT YOUR PRESENT OR MOST RECENT EMPLOYER?

POSITION HELD

Y

N

EMPLOYER'S NAME AND

DATES EMPLOYED

POSITION TITLE

COMPLETE ADDRESS/PHONE

FROM

TO

NAME & TITLE OF SUPERVISOR

SALARY

REASON FOR LEAVING

START

FINAL

$

$

EMPLOYER'S NAME AND

DATES EMPLOYED

POSITION TITLE

COMPLETE ADDRESS/PHONE

FROM

TO

NAME & TITLE OF SUPERVISOR

SALARY

REASON FOR LEAVING

START

FINAL

$

$

EMPLOYER'S NAME AND

DATES EMPLOYED

POSITION TITLE

COMPLETE ADDRESS/PHONE

FROM

TO

NAME & TITLE OF SUPERVISOR

SALARY

REASON FOR LEAVING

START

FINAL

$

$

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