SURF-N-SEA, INC.APPLICATION FOR EMPLOYMENT
PERSONAL INFORMATION
TODAYS DATE:
*
-
Month
-
Day
Year
Date
LAST FOUR DIGITS OF SOCIAL SECURITY NUMBER
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NAME:
*
First Name
Middle Initial
Last Name
HOME ADDRESS:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PHONE #:
*
Format: (000) 000-0000.
ARE YOU 18 YEARS OR OLDER?
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Yes
No
EMAIL:
*
example@example.com
ARE YOU EITHER A U.S. CITIZEN OR AN ALIEN AUTHORIZED TO WORK IN THE UNITED STATES?
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Yes
No
EMPLOYMENT DESIRED
POSITION:
DATE YOU CAN START:
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Month
-
Day
Year
Date
SALARY DESIRED:
EVER APPLIED TO THIS COMPANY BEFORE? YES/NO
*
WHEN?
REFERRED BY:
EDUCATION:
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Rows
Name & location of school
# of Years Attended
Did you graduate?
Subjects Studied
HIGH SCHOOL
COLLEGE
TRADE,BUSINESS OR CORR. SCHOOL
SUBJECTS OF SPECIAL STUDY OR RESEARCH WORK:
SPECIAL SKILLS:
ACTIVITIES: (CIVIC, ATHLETIC, ETC.):
EXCLUDE ORGANIZATIONS, THE NAME OF WHICH INDICATES THE RACE, CREED, SEX, AGE, MARITAL STATUS, COLOR OR NATION OF ORIGIN OF ITS MEMBERS
U.S. MILITARY OR NAVAL SERVICE:
RANK:
PRESENT MEMBERSHIP IN NATIONAL GUARD OR RESERVES
FORMER EMPLOYERS (LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST)
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Rows
NAME & PHONE NUMBER OF EMPLOYER
SALARY
POSITION
REASON FOR LEAVING
From: To:
From: To:
From: To:
From: To:
WHICH OF THESE JOBS DID YOU LIKE BEST?
WHAT DID YOU LIKE MOST ABOUT THIS JOB?
REFERENCES: GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.
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Rows
ADDRESS AND PHONE NUMBER
BUSINESS
YEARS ACQUAINTED
1.
2.
3.
IN CASE OF EMERGENCY NOTIFY:
*
PHONE NUMBER:
*
Format: (000) 000-0000.
RELATIONSHIP TO YOU:
*
I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND I UNDERSTAND THAT, IF EMPLOYED, FALSE OR MISLEADING STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES LISTED ABOVE TO GIVE YOU ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE, AND RELEASE ALL PARTIES FROM ALL LIABILITY FOR ANY DAMAGE THAT MAY RESULT FROM FURNISHING SAME TO YOU.
I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT PRIOR NOTICE AND WITHOUT CAUSE.
DATE:
*
-
Month
-
Day
Year
Date
SIGNATURE:
*
PLEASE PROVIDE AVAILABILITY HOURS BELOW
IF NOT AVALIABLE ON CERTAIN DATES, PLEASE ANSWER N/A
SUNDAY
*
MONDAY
*
TUESDAY
*
WEDNESDAY
*
THURSDAY
*
FRIDAY
*
SATURDAY
*
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