Spencer Lake Employment Application Form

Pick one - employee or volunteer:
Name:

First NameLast Name
If you are under 18, and it is required, can you furnish a work permit?
Phone Number:

Area CodePhone Number
E-mail Address:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you ever been employed here before?
How were you referred to us?
Others:
Are you eligible to work in the U.S.?
Have you been convicted of a crime in the past seven years?
If yes, please explain:
What position(s) are you applying for?

Other
Date Available:
Are you able to meet the attendance requirements of the position?
Can you perform the duties of the job you are applying for?
Prior Work Experience
Current or Most Recent
Employer:
Address:

Street Address

CityState / Province

Postal / Zip Code
Phone Number:

Area CodePhone Number
Position:
Pay:
Supervisor:

First NameLast Name
What was your start date?

MonthDayYear
Date
What was your end date?

MonthDayYear
Date
Reason for leaving:
Prior 2
Employer:
Address:

Street Address

CityState / Province

Postal / Zip Code
Phone Number:

Area CodePhone Number
Position:
Pay:
Supervisor:

First NameLast Name
What was your start date?

MonthDayYear
Date
What was your end date?

MonthDayYear
Date
Reason for leaving:
Prior 3
Employer:
Address:

Street Address

CityState / Province

Postal / Zip Code
Phone Number:

Area CodePhone Number
Position:
Pay:
Supervisor:

First NameLast Name
What was your start date?

MonthDayYear
Date
What was your end date?

MonthDayYear
Date
Reason for leaving:
Education
School:
Last Year Completed:
Degree / Major:
List any applicable skills, training or proficiencies:
References

Please list three (3) references (prefer 18 yrs old or older) that are familiar with your work life and are not related to you.
Reference 1
Name:

First NameLast Name
Phone Number:

Area CodePhone Number
Years Known:
Reference 2
Name:

First NameLast Name
Phone Number:

Area CodePhone Number
Years Known:
Reference 3
Name:

First NameLast Name
Phone Number:

Area CodePhone Number
Years Known:
Upload Resume:

Upload a File

Cancelof
Disclaimer - By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records.

NOTE: All hires, 18 years and older, subject to a background check.
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