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Employment Form

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Personal Information

First Name

Last Name

Street Address

Apartment/Unit #

City

State

Zip

Email Address

Phone Number

Date Available

Desired Wage

Position Applied For

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

High School

City

Did you graduate? Yes No

Dates?

Degree?

College

City

Did you graduate? Yes No

Dates?

Degree?

How would your friends describe you?

Why should we hire you?

Describe your work ethic?

If you had to turn down a request from a valued guest, what would you do?

What important goals have you achieved in the past year?

Employment History

Previous Employer 1

Company Name

Company Contact Information

Supervisor's Name

Company Contact Information

Position

Rate of Pay

From

To

Previous Employer 2

Company Name

Company Contact Information

Supervisor's Name

Company Contact Information

Position

Rate of Pay

From

To

Previous Employer 3

Company Name

Company Contact Information

Supervisor's Name

Company Contact Information

Position

Rate of Pay

From

To

Availability

Please check the days you are NOT Available (A.M. shifts start at 10am; P.M. Shifts start at 4pm)

Monday AM

Monday PM

Tuesday AM

Tuesday PM

Wednesday AM

Wednesday PM

Thursday AM

Thursday PM

Friday AM

Friday PM

Saturday AM

Saturday PM

Sunday AM

Sunday PM

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