Job Application Cheat Sheet
Complete each section below. This will help prepare you for applying for jobs in the future. If you prefer to not use your mouse to click to the next field, please press "Tab" to move to the next field.
Personal Information
Full Name
Date of Birth
/
Month
/
Day
Year
Date
Address
City, State, Zip Code
Email
example@example.com
Phone
Format: (000) 000-0000.
Social Security Number
Preferred Pronouns
Work Eligibility
Are you legally authorized to work in the US?
Yes
No
Do you require sponsorship now or in the future?
Yes
No
Do you have a valid form of ID?
Yes
No
If yes, is it a state ID or driver’s license?
State ID
Driver’s license
Are you 18 years or older?
Yes
No
Do you have reliable transportation?
Yes
No
Education History
Highest level of education completed
School name
Location
Graduation year
Certifications
Employment History (Last 1-3 Jobs)
Job Title
Employer
Location
Start date
/
Month
/
Day
Year
Date
End date
/
Month
/
Day
Year
Date
Reason for leaving
Supervisor name & phone
OK to contact?
Yes
No
Duties
Job Title
Employer
Location
Start date
/
Month
/
Day
Year
Date
End date
/
Month
/
Day
Year
Date
Reason for leaving
Supervisor name & phone
OK to contact?
Yes
No
Duties
Job Title
Employer
Location
Start date
/
Month
/
Day
Year
Date
End date
/
Month
/
Day
Year
Date
Reason for leaving
Supervisor name & phone
OK to contact?
Yes
No
Duties
Availability
Desired start date
/
Month
/
Day
Year
Date
Hours available per week
Days/times available:
Check the box for the days you’re available and enter the times you’re available that day down below.
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
Sun
Currently employed?
Yes
No
Notice period (if any)
Any time/day restrictions?
Yes
No
Best day to interview
Work Preferences & Restrictions
Job types to avoid
Preferred job types
Work environment preferences
Desired hourly wage or salary
Distance willing to travel for work
Willing to work weekends, holiday, or overtime?
Yes
No
Able to lift 25-40 lbs?
Yes
No
Able to lift 40-50 lbs?
Yes
No
Comfortable working outdoors?
Yes
No
Able to stand for long periods?
Yes
No
Technology & Skills
Software/tools experience
Languages spoken
Soft skills (communication, teamwork)
Hard skills cooking, cleaning, etc
POS system experience?
Yes
No
Tablet/smartphone comfort?
Yes
No
References (2 required)
Reference #1 Name
Relationship
Years known
Phone
Format: (000) 000-0000.
Email
example@example.com
Reference #2 Name
Relationship
Years known
Phone
Format: (000) 000-0000.
Email
example@example.com
Reference #3 Name
Relationship
Years known
Phone
Format: (000) 000-0000.
Email
example@example.com
Miscellaneous
Convicted of a crime?
Yes
No
Willing to take a drug test?
Yes
No
Willing to undergo background check?
Yes
No
Military service?
Yes
No
Veteran?
Yes
No
Willing to take skills/personality test?
Yes
No
Willing to take a math test?
Yes
No
Need any accommodations?
Yes
No
If so, what are they?
WOTC / Tax Credit Screening Questions
Received SNAP in last 6 months?
Yes
No
Receiving SSI?
Yes
No
Receiving SSDI?
Yes
No
Unemployed for 27+ weeks?
Yes
No
Felony conviction/released in last year?
Yes
No
Receiving TANF?
Yes
No
Veteran of US Military?
Yes
N
In vocational rehab/employment program?
Yes
No
Discharged within last 12 months?
Yes
No
Unemployed 4+ weeks in past year?
Yes
N
Receiving services from agency?
Yes
No
Age 18-39 & live in low-income area?
Yes
No
Currently/formerly in foster care?
Yes
No
Currently/formerly homeless?
Yes
No
Save, Preview, & Submit
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example@example.com
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