Pre-Employment Application

Pre-Employment Application

Please complete this pre-employment application to be contacted for the position you are applying for. If you have any questions or require assistance please contact The Custom Companies, Inc. at (708) 338-8888
Applicant Information
Position Applied For
Desired Salary/Wage
Date Available to Start

MonthDayYear
Date
Type of Employment Desired
How did you hear about this position?

Other
How did you hear about this position? - Other (please specify)
Personal and Contact Information
Full Legal Name

First NameMiddle NameLast Name
Preferred Name
Street Address
City
State
Zip
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Work Authorization and Background
Are you legally authorized to work in the United States?
Will you now or in the future require sponsorship for employment visa status?
Have you previously worked for The Custom Companies or any affiliated company?
If yes, provide dates and position
Do you have any relatives employed by The Custom Companies?
If yes, name and relationship
Education and Training
High School - School Name
High School - City/State
High School - Did you Graduate?
High School - Diploma/GED
College/University - School Name
College/University - City/State
College/University - Degree
College/University - Field of Study
College/University - Graduated?
Other Training, Certifications, or Professional Licenses
Employment History
Employer Name
Employer Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Employer Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Job Title
Department
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
May we contact this employer?
Reason for Leaving
Supervisor Name
Supervisor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Starting Salary
Ending Salary
Duties and Responsibilities
Employer Name (Previous Employer 1)
Employer Address (Previous Employer 1)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Employer Phone Number (Previous Employer 1)
Please enter a valid phone number.Format: (000) 000-0000.
Job Title (Previous Employer 1)
Department (Previous Employer 1)
Start Date (Previous Employer 1)

MonthDayYear
Date
End Date (Previous Employer 1)

MonthDayYear
Date
May we contact this employer? (Previous Employer 1)
Reason for Leaving (Previous Employer 1)
Employer Name (Previous Employer 2)
Employer Address (Previous Employer 2)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Employer Phone Number (Previous Employer 2)
Please enter a valid phone number.Format: (000) 000-0000.
Job Title (Previous Employer 2)
Department (Previous Employer 2)
Start Date (Previous Employer 2)

MonthDayYear
Date
End Date (Previous Employer 2)

MonthDayYear
Date
May we contact this employer? (Previous Employer 2)
Reason for Leaving (Previous Employer 2)
Additional Employment History Details
Skills and Certification
Skills & Qualifications
Applicant Signature
Date (Applicant Certification)

MonthDayYear
Date
Please verify that you are human
Should be Empty:

Pre-Employment Application

Applicant Information

Personal and Contact Information

Work Authorization and Background

Education and Training

Employment History

Skills and Certification