Application for Employment
Full Name
*
First Name
Middle Initial
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
E-mail
*
example@example.com
Phone Number
*
Available start date:
*
-
Month
-
Day
Year
Date
Are you authorized to work in the United States?
*
Yes
No
Were you ever been discharged or forced to resign from any position?
*
Yes
No
If Yes, Explain:
Do you have experience working in a tax office or financial environment?
*
Yes
No
Are you comfortable handling confidential information/documents?
*
Yes
No
How comfortable are you multitasking during busy seasons? (Scale 1–5)
*
How did you learn about this position?
*
Facebook
Family/Friend
Walk-In
Other
Have you served in the U.S. Armed Forces?
*
Yes
No
If Yes, Branch:
*
Date Entered Active Duty:
*
-
Month
-
Day
Year
Date
Date Released Active Duty:
*
-
Month
-
Day
Year
Date
Have you ever been convicted of any violation of the law? (Exclude traffic violations) A conviction will not necessarily disqualify an applicant from the position sought.
*
Yes
No
If Yes, Explain:
*
Education:
Are you a High School Graduate?
*
Yes
No
Name of High School
*
Year you graduated
*
Are you presently attending school?
*
Yes
No
Type of Education
*
Please Select
College or University
Vocational or Special Training
Graduate School
None
Name of Institution
*
Field of Study
*
Type of Degree
*
Did you Graduate?
*
Yes
No
Do you have additional education to enter?
*
Yes
No
Additional Type of Education
*
Please Select
College or University
Vocational or Special Training
Graduate School
Name of Instiution
*
Field of Study
*
Type of Degree
*
Did you Graduate?
*
Yes
No
Special Skills
List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc.)
*
Employment History
Beginning with your present or most recent experience, account for all employment during the past ten (10) years. To elaborate, asupplemental sheet or resume may be attached, but cannot be substituted for a completed application. Include military service ifapplicable.
Name of Employer:
*
Job Title:
*
Phone Number
*
Supervisor:
*
Description of Duties:
*
Date started
*
-
Month
-
Day
Year
Date
Date ended
*
-
Month
-
Day
Year
Date
Reason for Leaving:
*
Do you have additional employers to enter?
*
Yes
No
Name of Employer:
*
Job Title:
*
Phone Number
*
Supervisor:
*
Description of Duties:
*
Date started
*
-
Month
-
Day
Year
Date
Date ended
*
-
Month
-
Day
Year
Date
Reason for Leaving:
*
Inquiry may be made of your current and former employers/schools you attended.
May we contact your present employer?
*
Yes
No
May we contact your former employers?
*
Yes
No
References:
please list three professional references not related to you, with full name, address, phone number, and relationship. If you don't have three professional references then list personal unrelated references.
Reference 1: Full Name
*
First Name
Last Name
Phone Number
*
Relationship
*
Reference 2: Full Name
*
First Name
Last Name
Phone Number
*
Relationship
*
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I certify that the facts set forth in this application of employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the employer to make an investigation of any of the facts set forth in this application and release the employer from an liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an "at will" employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
*
Applicants Signature
Date signed:
*
-
Month
-
Day
Year
Date
Submit
Submit
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