Employment application .pdf

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Original filename: Employment application.pdf
Title: Employment application (2-pp.)
Author: Oscar Fernandez

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SAN DIEGO POKE CO.
Employment Application

APPLICANT INFORMATION
Last Name

First

M.I

Date

Street Address

Apartment/Unit #

City

State

ZIP

Phone

E-mail Address

HOURS OF AVAILABILITY
MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

Desired Position
Are you a citizen of the United States?

YES

NO

If no, are you authorized
to work in the U.S.?

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

YES

NO

EDUCATION
High School
From

Address
To

Did you graduate?

College
From

NO

Degree

NO

Degree

NO

Degree

Address
To

Did you graduate?

Other
From

YES

YES
Address

To

Did you graduate?

YES

REFERENCES
Full Name

Relationship

Company

Phone

Address
Full Name

Relationship

Company

Phone

Address
Full Name

Relationship

Company

Phone

Address

12242015

PREVIOUS EMPLOYMENT
Company

Phone

Address

Supervisor

Job Title

Starting Salary

$

Ending Salary

$

Ending Salary

$

Ending Salary

$

Responsibilities
From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

YES

NO

Company

Phone

Address

Supervisor

Job Title

Starting Salary

$

Responsibilities
From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

YES

NO

Company

Phone

Address

Supervisor

Job Title

Starting Salary

$

Responsibilities
From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

YES

NO

MILITARY SERVICE
Branch

From

To

Rank at Discharge

Type of Discharge

If other than honorable, explain

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

Date

12242015


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