Vaughan & Bushnell Employment Application
Personal Information
Name
*
First Name
Last Name
Email
*
example@example.com
Date
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone
*
Please enter a valid phone number.
Secondary Phone
Please enter a valid phone number.
Date Available
*
-
Month
-
Day
Year
Date
Desired Pay
Hour
Salary
Position/Shift Desired
Are you 18 years or older?
Yes
No
Employment Desired
*
Full-time
Part-time
Overtime
Have you been terminated or asked to resign by an employer?
*
Yes
No
If yes, please explain:
Are you legally eligible to work in the U.S.?
*
Yes
No
Have you ever worked for Vaughan & Bushnell before?
Yes
No
If yes, please provide dates:
-
Month
-
Day
Year
Start
-
Month
-
Day
Year
End
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Employment History
List of ALL employers/most current employer first. Include informal jobs too.
Employer
Company/individual
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Job Title
To/From
Pay
Hour
Salary
Responsibilities:
Reason for leaving:
Add Another Employer
Employer
Company/individual
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Job Title
To/From
Pay
Hour
Salary
Responsibilities:
Reason for leaving:
Add Another Employer
Employer
Company/Individual
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Job Title
To/From
Pay
Hour
Salary
Responsibilities:
Reason for leaving:
Add Another Employer
Employer
Company/Individual
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Job Title
To/From
Pay
Hour
Salary
Responsibilities:
Reason for leaving:
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Explain any interruptions in employment history:
List other pertinent employment that would enhance your possibilities:
Are you active military?
*
Yes
No
Dates
Are you a veteran?
Yes
No
Type of discharge:
Mark the areas you have experience in:
Grind
Forge
Paint
Maintenance
Machine Operation
Assembly
Management
Clerical
Shipping
Receiving
Packing
If asked, are you willing to consent to a background check?
*
Yes
No
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Next
Education
High School/Location
Graduated:
Yes
No
Other Education/Location
Graduated:
Yes
No
Do you have any special skills, experience, and or training that would enhance your ability to perform the position applied for? If yes, please provide us with this information:
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References
Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Disclaimer
Applicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered. Please complete each section EVEN IF you decide to attach a resume. I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.
Name
*
First Name
Last Name
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Please verify that you are human
*
Should be Empty: