Employment Application

Employment Application
Date of Application

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Applicant Information
First
Middle
Last
Street Address
Apartment/Unit #
City
State
Zip
Phone
Format: (000) 000-0000.
Email
example@example.com
Date Available to Start

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Desired Wage
Position Applied for
Are you a citizen of the United States?
If NO, are you authorized to work in the United States?
Have you ever worked for this company?
If yes, when?
Have you ever been convicted of a felony?
If yes, explain
Education
High School
City, State
From
To
Did you graduate?
College / Other
City, State
From
To
Degree or Certification?
References
Full Name
Company Name
Relationship
Phone
Format: (000) 000-0000.
Full Name
Company Name
Relationship
Phone
Format: (000) 000-0000.
Previous Employment
Company
Phone
Format: (000) 000-0000.
Address
Supervisor
Job Title
Compensation
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
Company
Phone
Format: (000) 000-0000.
Address
Supervisor
Job Title
Compensation
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
Military Service
Branch
From
To
Rank at Discharge
Type of Discharge
If other than honorable, explain
Additional Information
What is your availability if you are hired?
What restrictions do you have on availability?
What shifts do you prefer?
Do you have a Denver Guard Card?
If not, are you willing to obtain a Denver Guard Card?
Do you have reliable transportation?
Do you have a cell phone?
Do you have internet access?
Are you willing to submit to a drug test?
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

Employment Application

Applicant Information

Education

References

Previous Employment

Military Service

Additional Information

Disclaimer and Signature

Background Check