Sugar Magnolia Employment Application

Application for Employment
Full Name*

First NameMiddle InitialLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
Phone Number*

Area CodePhone Number
Available start date:*

MonthDayYear
Are you authorized to work and remain in the United States?

YesNo
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.

YesNo
If Yes, Explain:

Availability, Check the shifts you are available

	6a-10a	10a-2p	2p-6p	6p-10p
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Position Apply For
Education:
Highest Level of Education Completed:
Are you presently attending school?

YesNo
Type of school attending:
Name of School:
Expected Grad Date:
Employment History

Begin with your present or most recent experience. To elaborate, a supplemental sheet or resume may be attached, but cannot be substituted for a completed application. Include military service, ifapplicable.
Employer:
Name of Supervisor:
Address:

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
Job Title:
Date started

MonthDayYear
Date ended

MonthDayYear
Description of Duties:
Reason for Leaving:
Do you have additional employers to enter?

YesNo
Employer:
Name of Supervisor:
Address:

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
Job Title:
Date started

MonthDayYear
Date ended

MonthDayYear
Description of Duties:
Reason for Leaving:
Inquiry may be made of your current and former employers/schools you attended.
May we contact your present employer?

YesNo
May we contact your former employers?

YesNo
Personal References
Reference 1

First NameLast NameRelationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business or Occupation
Phone Number

Area CodePhone Number
Reference 2

First NameLast NameRelationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business or Occupation
Phone Number

Area CodePhone Number
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Application for Employment

Education:

Employment History

Personal References