Employee Application

Application for Employment

First Name:*

Last Name:*

Middle Name:*

Position(s) Applied For:*

Date of Application:*

How did you hear about us?*

Address & Phone Number:*

Email*

example@example.com

Are you at least 18 years of age?*

YesNo

If you are under 18 years of age, can you provide a required work permit?*

YesNoNot Applicable

Have you ever filed an application with us before?*

Yes (If Yes, give date)No

Date:

Do any of your friends or relatives work here?*

Yes (If Yes, provide name)No

Name of friend or relative:*

Are you currently employed?*

YesNo

May we contact your present employer?*

YesNo

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment.)*

YesNo

Date available for work:*

What is your desired salary/hourly wage range?*

Are you available to work:*

Seasonal dates available:

Days of week available:

Are you currently on "lay-off" status and subject to recall?*

YesNo