Maggard Striping Application for Employment

Maggard Striping

Application for employment
An EQUAL OPPORTUNITY EMPLOYER
Date of Application

MonthDayYear
Date
Position(s) Applied For
Name

First NameMiddle NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

CityState / Province

Postal / Zip Code
If employed and under 18 years of age, can you furnish a work permit?

YesNo
Have you filed an application with this company before?

YesNo
If yes, give date:

MonthDayYear
Date
Have you ever been employed with this company before?

YesNo
If yes, give date:

MonthDayYear
Date
Are you currently employed?

YesNo
If yes, may we contact your employer?

YesNo
Are you prevented from lawfully becoming employed in this country because of visa or immigration status? Proof of citizenship or immigration status will be required upon employment

YesNo
On what date would you be available for work?

MonthDayYear
Date
When are you available to work?

Full TimePart TimeShift WorkTemporary
Have you been convicted of a felony within the last 7 years?* Conviction will not necessarily disqualify applicant from employment

YesNo
If yes, please explain:
(*California applicants: Do not disclose sealed, erased, or expunged convictions, or marijuana-related convictions that are more than two years old
EDUCATION:
High School
Years Completed/Degree?

9101112
Vocational Training
Years Completed/Degree?

1234
College/university
Years Completed/Degree?

1234
Graduate/Professional
Years Completed/Degree?

1234
Describe Specialized Training, Apprenticeship, Skills and Extra- Curricular Activities
Honors Received:
State any additional information you feel may be helpful to us in considering your application.
APPLICATION FOR EMPLOYMENT
List professional, trade, business or civic activities and offices held. (You may exclude memberships that would reveal sex, race, religion, national origin, age, ancestry, disability or other protected status
Give name, address and telephone numbers of three references who are not related to you and are not previous employers.
1. Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
2. Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
3. Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMPLOYMENT EXPERIENCE
Start with your present or last job. Include military service assignments and volunteer activities. (You may exclude organization names that would reveal sex, race, religion, national origin, age, ancestry, disability or other protected status
1. Employer:
Address:
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Phone Number:
Hourly Rate/Salary
Starting:
Final:
Job Title:
Supervisor:
Work Performed:
Reason for Leaving:
2. Employer:
Address:
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Phone Number:
Hourly Rate/Salary
Starting:
Final:
Job Title:
Supervisor:
Work Performed:
Reason for Leaving:
3. Employer:
Address:
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Phone Number:
Hourly Rate/Salary
Starting:
Final:
Job Title:
Supervisor:
Work Performed:
Reason for Leaving:
4. Employer:
Address:
Start Date:

MonthDayYear
Date
End Date:

MonthDayYear
Date
Phone Number:
Hourly Rate/Salary
Starting:
Final:
Job Title:
Supervisor:
Work Performed:
Reason for Leaving:
Special Skills and Qualifications
Summarize special skills and qualifications acquired from employment experience or education.
NOTES:
Applicant’s Statement
I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 180 days. If I wish to be considered for employment beyond this time period, I understand that I need to inquire as to whether or not applications are being accepted at that time.
I understand that neither this document nor any offer of employment from the employer constitutes an employment contract unless a specific document to that effect is executed by the employer and me in writing.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
Signature of Applicant

Clear
Date:

MonthDayYear
Should be Empty:

Maggard Striping

An EQUAL OPPORTUNITY EMPLOYER

EDUCATION:

APPLICATION FOR EMPLOYMENT

EMPLOYMENT EXPERIENCE

Hourly Rate/Salary

Hourly Rate/Salary

Hourly Rate/Salary

Hourly Rate/Salary

Special Skills and Qualifications

Applicant’s Statement