Station 49 Employment Application

Application for Employment
Personal Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Referred By
Birth Date

MonthDayYear
Age
Employment Desired
Desired Position
Date You Can Start
Desired Salary
Are You Currently Employed?
If so, may we inquire of your present employer?
Are you legally authorized to work in the U.S.?
Education History
High School
Name of School
Location of School
Years Attended
Did you graduate?
Subjects Studied
College
Name of School
Location of School
Years Attended
Did you graduate?
Subjects Studied
Trade, Business, or Correspondence School
Name of School
Location of School
Years Attended
Did you Graduate?
Subjects Studied
General Information
Special Training
Special Skills
CPR Certified?
Active Food Handlers Permit?
Active MAST Permit? (State Bartending License)
Former Employers
1)
Name of Employer

First NameLast Name
Phone Number

Area CodePhone Number
From

MonthDayYear
To

MonthDayYear
Salary
Position
Reason for leaving
2)
Name of Employer

First NameLast Name
Phone Number

Area CodePhone Number
From

MonthDayYear
To

MonthDayYear
Salary
Position
Reason for leaving
References
1)
Name

First NameLast Name
Phone Number

Area CodePhone Number
Business
Years Known
2)
Name

First NameLast Name
Phone Number

Area CodePhone Number
Business
Years Known
Resume/Cover Letter
Resume/Cover Letter/ Other

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Application for Employment

Personal Information

Employment Desired

Education History

High School

College

Trade, Business, or Correspondence School

General Information

Former Employers

1)

2)

References

1)

2)

Resume/Cover Letter

Authorization