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Application For Employment: Work Experience - List Most Recent Job First

This document is an application for employment. It requests personal information such as name, address, phone number, and social security number. It asks for work experience history including past employers, dates of employment, pay rates, job titles, and reasons for leaving. It inquires about the position being applied for, availability, languages spoken, legal eligibility to work, and transportation. The applicant certifies that the information is true and acknowledges the at-will nature of employment with the company.

Uploaded by

Jeanie Tabor
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
25 views

Application For Employment: Work Experience - List Most Recent Job First

This document is an application for employment. It requests personal information such as name, address, phone number, and social security number. It asks for work experience history including past employers, dates of employment, pay rates, job titles, and reasons for leaving. It inquires about the position being applied for, availability, languages spoken, legal eligibility to work, and transportation. The applicant certifies that the information is true and acknowledges the at-will nature of employment with the company.

Uploaded by

Jeanie Tabor
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Application For Employment

We Are An Equal Opportunity Employer


Please Print
Last Name

First Name

Middle Initial

Social Security Number

Address

City

Zip Code

Phone Number

WORK EXPERIENCE - LIST MOST RECENT JOB FIRST


From

Employer's Name/Address/Telephone

To

Start Pay

Job Title

Last Pay

Reason for Leaving

Start Pay

Job Title

Last Pay

Reason for Leaving

Start Pay

Job Title

Last Pay

Reason for Leaving

Describe the Work You Did


From

Employer's Name/Address/Telephone

To
Describe the Work You Did
From

Employer's Name/Address/Telephone

To
Describe the Work You Did

GENERAL INFORMATION
What position are you applying for?
Full Time? [ ]
Part Time? [ ]
When are you available to start work?
Are you willing to work overtime? Yes [ ] No [ ]
Are you at least 18 years old? Yes [ ] No [ ]
If not, can you provide a valid Work Permit, high school diploma, or equivalent? Yes [ ] No [ ]
What languages do you speak, read, or write fluently?
If hired, can you verify that you have the legal right to work in the United States? Yes [ ] No [ ]
Do you have any special skills, training, or experience which may help you qualify for this job? Yes [ ] No [ ]
If so, please explain
Do you have a reliable means of transportation to get to work? Yes [ ] No [ ]
Are there any times during the week that you are not available to work? Yes [ ] No [ ]
If so, please explain
Do any of your relatives work for this company?
Yes [ ] No [ ] If so, who?
Have you ever worked for this company before?
Yes [ ] No [ ] If so, when?
Have you ever been convicted of a crime, excluding misdemeanors and summary offenses? Yes [ ] No [ ] (NOTE:Conviction will not necessarily disqualify applicant)
If so, please explain
How did you find out about this job?

CERTIFICATION AND ACKNOWLEDGMENT


I certify that the information provided herein is true and correct to the best of my knowledge. I understand that, if employed,
falsified statements on this Application for Employment form will be considered grounds for termination.
I authorize the company to thoroughly investigate my work experience and any other matters related to my suitability for
employment. I further authorize my former employers to disclose to the company any and all information they may have concerning
my previous employment. in addition, I hereby release the company, my former employers, and all other persons from any and all
claims, demands, or liabilities arising out of, or in any way related to, such disclosure.
I acknowledge that, if employed, both the company and I have the right to terminate the employment relationship at any time,
with or without cause or advance notice. This employment at will relationship will remain in effect throughout my employment with
the company and may not be modified by any oral or implied agreement.
Applicant's Signature

Date

Solicitud Para Empleo


Somos Jefes que Ofrecen Oportunidad Igual
Letra de Molde
Apellido

Primer Nombre

Inicial

No. De Seguro Social

Direccion

Ciudad

Zona Postal

No. De Telefono

EXPERIENCIA DE TRABAJO - ESCRIBA EL EMPLEO MAS RECIENTE PRIMERO


Desde

Nombre del Jefe/Direccion/Telefono

Hasta

Pago Inicial

Titulo del Trabajo

Pago Final

Razon de Salida

Pago Inicial

Titulo del Trabajo

Pago Final

Razon de Salida

Pago Inicial

Titulo del Trabajo

Pago Final

Razon de Salida

Descripcion de Tareas
Desde

Nombre del Jefe/Direccion/Telefono

Hasta
Descripcion de Tareas
Desde

Nombre del Jefe/Direccion/Telefono

Hasta
Descripcion de Tareas

INFORMACION GENERAL
Que posicion esta solicitando?
Tiempo Completo? [ ] Medio-Tiempo? [ ]
En que fecha esta disponible para empezar?
Puede trabajar tiempo extra?
Si [ ] No [ ]
Tiene por lo menos 18 anos? Si [ ] No [ ]
Si No, puedo proveer un Permiso de Trabajo valido, diploma de secundaria, o algo equivalente? Si [ ] No [ ]
Que idiomas puede hablar, leer o escribir con facilidad?
Si lo emplean, puede verificar que tiene el derecho legal de trabajar en los Estados Unidos? Si [ ] No [ ]
Tiene algunas habilidades especiales, entrenamiento, o experiencia que ? Si [ ] No [ ]
Si es asi, por favor explique
Tiene transportacion segura para llegar al trabajo? Si [ ] No [ ]
Hay algunos dias de la semana que usted no este disponible para trabajar? Si [ ] No [ ]
Si es asi, por favor explique
Tiene parientes trabajando para la compania?
Si [ ] No [ ] Si es asi, quien?
Ha trabajado para esta compania anteriormente?
Si [ ] No [ ] Si es asi, cuando?
Ha sido sentenciado por un crimen, no incluyendo delitos u ofensas sumarias? Si [ ] No [ ] (NOTA:Conviccion no necesariamente descalifica un aplicante.)
Si es asi, por favor explique
Como encontro este trabajo?

CERTIFICACION Y RECONOCIMIENTO
Yo certifico que la informacion proporcionada aqui es verdadera y correcta a mi parecer. Entiendo que, si me emplean, las
declaraciones falsificadas en esta Solicitud de Empleo seran consideradas como una razon para despido.
Yo autorizo a la compania a investigar completamente mi experiencia del trabajo y cualquier otro asunto en relacion a la
conformidad de este empleo. Tambien, autorizo a mis patrones anteriores para informar a la compania de cualquier y toda informacion
que concierne a mi empleo pasado. Ademas, desligo a la compania, a mis jefes anteriores, y a otras personas, de cualquier y todos
los reclamos, demandas, u obligaciones que pueden suceder o tener relacion con este informe.
Reconozco que, si me emplean, la compania y yo tenemos el derecho de terminar esta relacion de empleo en cualquier
momento, con o sin
the company and may not be modified by any oral or implied agreement.
Applicant's Signature

Date

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