Employment Application

Employment Application
Performance and Event Venue 302 South Main Street Mullins S.C. 29574 Please submit your application to: TheVaughnRoomApply@gmail.com 843-220-1259 or 843-220-6245
Last
First
M.I.
Date

MonthDayYear
Date
Street Address
City
State
ZIP Code
Phone
Email
example@example.com
Position Applied for
Are you a citizen of the United States?
If no. are you authorized to work in the U.S.?

Have you ever worked for this company?
If yes, when?
Have you ever been convicted of a felony?
If yes, explain
High School
Address
From
To
Diploma
College
Address
From
To
Degree
Other
From
To
Degree
Please list two professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Company
Phone
Address
Supervisor
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
Company
Phone
Address
Supervisor
Job Title
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
Branch
From
To
Rank at Discharge
Type of Discharge
If other than honorable. explain
I certify that my answers are true and complete to the best of my knowledge.

Ifthis application leads to employment, / understand that false or misleading information in my application or interview may result in my release.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty: