Snorkel Bob's Employment Application [LIVE ELECTRONIC FORMS LINK]

Application for Employment

Date

Position applying for

Full Name

Social Security No.

Street Address

City

State

Zip

Telephone Number

Email

example@example.com

Date you can start work

Date

Interested in:

Full-timePart-timeTemporary

EMPLOYMENT RECORD: STARTING WITH present or MOST RECENT, list all previous employers. Include self- employment, military service, summer and part-time jobs. Please attach additional sheets if necessary, following the same format.

Company #1 (Most Recent Employment)

Company Name

Company Phone Number

Employer Address

Employer City & State

Zip

Employed From

(MM/YY)

Employed To:

Position and Duties

Reason for Leaving

Ending Pay $

Supervisors Name / Phone number

Company #2

Company Name

Company Phone Number

Employer Address

Employer City & State

Zip

Employed From

Employed To

Position and Duties

Reason for Leaving

Ending Pay $

Supervisors Name / Phone

Company #3

Company Name

Company Phone Number

Employer Address

Employer City & State

Zip

Employed From

Employed To

Position and Duties

Reason for Leaving

Ending Pay $

Supervisors Name/Phone

May we contact listed employers?

YesNo

If not why?

Comments (Explain any gaps in employment)

Additional information which describes your full qualifications (Attach additional sheets if necessary.)

Upload any additional employment information you would like such as resume, certificates, references, etc. (pdf, doc, docx)

REFERENCES THAT WE MAY CONTACT : ( please provide 3)

(Not relatives) If there are no business/work references, list school or personal references.

Reference 1:

Name

Occupation/Employer

Address

Telephone Number

Email address

Reference 2:

Name

Occupation/Employer

Address

Telephone Number

Email Address

Reference 3:

Name

Occupation / Employer

Address

Telephone Number

Email Address

EDUCATION:

Please enter previous education information including, address, years attended, and diploma/degree details below.

Elementary

Name of Elementary school

Elementary School Address

# of elementary years attended

Complete requirements? Degree or Diploma

Jr. High / Intermediate

Name of school

Jr. High / Intermediate School Address

# of Jr. High/Intermediate years attended

Complete requirements? Degree or Diploma?

High School

Name of High School

High School Address

# of high school years attended?

Complete Requirements? Degree or Diploma?

College

Name of College

College Address

# of college years attended?

Complete Requirements? Degree(s)?

Other Education (Trade School, etc.)

Name of Trade School

Other (Education) Address

# of other education years attended?

Completed requirements? Degree, Diploma, or Certification?

If you are under 18 years of age, do you have a work permit?

YesNo

Do you know, or are you related to anyone in the company?

YesNo

If so, whom?

Do you share living space with anyone in the company?

YesNo

If so, whom?

It is the policy of Snorkel Bob's Inc.to hire only U. S. citizens and aliens who are authorized to work in this country. {As a condition of employment, you will be required to produce original documents establishing your identity and authorization to work, and to complete the U.S Immigration and Naturalization Service's Form 1-9.}

I certify that all statements made on this application are true and complete to the best of my knowledge. I understand that my application will not be considered if it is incomplete. Further, I understand that any mis-representation or omission will subject me to discharge and I hereby authorize any investigation of the above or related work experience, education, or reputation information for purposes of consideration of my application for employment.

This application is not a contract and cannot create a contract I understand that if I am employed, my employment is "at will" and can be terminated at any time, either by myself or Snorkel Bob's, with or without cause or reason and with or without notice.

Application Date*

Date

Applicant's Signature*