Employment Application Form

Education
Education
High School*
Name of High School
Address of High School*

Street Address

Street Address Line 2

CityState

Zip Code
From*

MonthDayYear
Date started High School
To*

MonthDayYear
Date ended High School
Did you graduate?*

YesNo
College
Name of College Attended
Address of College

Street Address

Street Address Line 2

CityState

Zip Code
From

MonthDayYear
Date started College
To

MonthDayYear
Date ended College
Did you graduate?

YesNo
Degree
Other Education
Name of other Educational Institution
Address of Other Educational Institution

Street Address

Street Address Line 2

CityState

Zip Code
From

MonthDayYear
Date started
To

MonthDayYear
Date ended
Degree

References
References

Please list three professional references
Name*

First NameLast Name
Relationship*
Company*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Name*

First NameLast Name
Relationship*
Company*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Name*

First NameLast Name
Relationship*
Company*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.

Previous Employment
Previous Employment

Please list up to three previous employers
Company
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From

MonthDayYear
Starting date
To

MonthDayYear
Ending date
Reason For Leaving
May we contact your previous supervisor for a reference?

YesNo
Company
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From

MonthDayYear
Starting date
To

MonthDayYear
Ending date
Reason For Leaving
May we contact your previous supervisor for a reference?

YesNo
Company
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From

MonthDayYear
Starting date
To

MonthDayYear
Ending date
Reason For Leaving
May we contact your previous supervisor for a reference?

YesNo

Military Service
Military Service
Did you serve in any branch of the U.S. Military?*

YesNo
Branch
From

MonthDayYear
Starting date
To

MonthDayYear
Ending date
Type of Discharge
If Discharge Was Other Than Honorable, please explain:

Upload Your Resume (Optional)
Upload a Resume

Optional
File Upload

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Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. I understand that by signing below, I am granting PTS Corp the authority to run a background check post job offer.If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Today's Date*

MonthDayYear
Signature

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