APPLICATION Example job .pdf
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APPLICATION FOR EMPLOYMENT
EQUAL OPPORTUNITY EMPLOYER
DATE: December 1, 2007
Name (Last, First, Middle)
Social Security Number:
Present address (Street, City, State, Zip)
1220 Monterey Street, Hollister, CA 95023
Referred by: Sam Smith
Open or Name of
Are you currently employed?
Date you can start: Immediately
Salary desired: Open
NO If so, May we inquire of your present employer? YES NO
Ever applied to this company before? YES NO Where?
SCHOOL NAME AND LOCATION
San Benito High School
1220 Monterey St.
Hollister, CA 95023
Computer Applications I & II; Teacher Aide; Consumer Foods, ROP class
Special Skills for This Employment:
Computer literate; Hard working; Good customer services skills; Organized and Creative; Punctual; Bilingual
Activities and Interests:
Soccer; Drama Class; Gardening; Painting; Reading
EXCLUDE ORGANIZATIONS, THE NAME OR CHARACTER OF WHICH INDICATES THE RACE, CREED, SEX, MARITAL STATUS, AGE, COLOR, OR
NATIONAL ORIGIN OF ITS MEMEBERS.
CURRENT AND FORMER EMPLOYERS:
(LIST MOST RECENT EMPLOYMENT FIRST)
641 McCray Street, Hollister, CA 95023
NAME AND ADDRESS OF EMPLOYER WAGES POSITION
Hazel Hawkins Hospital
911 Sunset Drive, Hollister CA 95023
3050 Hecker Pass HWY, Gilroy CA 95020
REFERENCES: (GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU)
ADDRESS & PHONE
Rev. John Johnson
St John’s Church, 4 th Street, Hollister CA (800) 6301234
109 Central, Hollister CA (101) 4446000
1220 Monterey Street, Hollister CA (800) 1234567
INCASE OF EMERGENCY, NOTIFY:
1220 Monterey Street, Hollister (831) 6375831
I authorize investigation of all statements contained in this application, I understand that misrepresentation or
omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for
no definite period and may, at the discretion of the employer, be terminated at any time without any previous
APPLICANT – DO NOT WRITE BELOW THIS LINE
____________________ _________________ ________________
1.) Employment Manager 2.) Employment Head 3.) General Manager