Smarties Agency Job Application Form

Smarties Agency Job Application Form
Email: info@thesmartiesagency.com

Section 1: Personal Information
Full Name
Date of Birth

MonthDayYear
Date
Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Address
City/State
Zip
Section 2: Position & Availability
Position Applying For
Available Start Date

MonthDayYear
Date
Availability (check all that apply):
Section 3: Work Eligibility
Note: Having a criminal record will not automatically disqualify you from employment.
If yes list
Currently on probation or parole?
Convicted of a felony/misdemeanor?
If yes list
Currently in a workforce or reentry program?
If yes, which one?
Physical restrictions impacting work?
If yes explain
Open to training/apprenticeship?
Need help with documents(I.D, SScard?
Section 4: Education
High School Name
Graduation Year
College or Trade School
Area of Study Degree
Certifications
Section 5: Work Experience
Company Name
Job Title
Responsibilities
Dates Employed

MonthDayYear
Date
Company Name
Job Title
Responsibilities
Dates Employed

MonthDayYear
Date
Section 6: Reference
Reference Name
Relationship
Phone or Email
Format: (000) 000-0000.
Section 7: Skills & Training
Are you interested in any of the following training opportunities?

Other
Section 8: Signature & Confirmation

I certify that my answers are true and complete to the best of my knowledge.
Signature
Date

MonthDayYear
Date
Should be Empty: