Pristine Job Application Form

Job Application Form
Personal Information
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your social security number?
Are you currently legally entitled to work in the country where the job is based?
If applicable, please detail any restrictions:
Position Information
Desired Position
What is your desired employment?
What is your desired pay?
Hourly
What is your available start date?

MonthDayYear
Date
Education
Highest Grade Completed
High School or GED
Year of Graduation
Business School / College
Year of Graduation
Other formal training: (school, location, description)
List your work skills:
Employment Status
Present Position or Status
Are you presently under contract?
If yes, until when?
Work Experience
References
Please list the names of three people not related to you, whom you have known for at least one year (recent employers preferred).
Have you ever been convicted of a felony?
Have you ever been dismissed or asked to resign from a position?
If yes, please explain.
I hereby certify that the information herein is a true and complete statement of my personal and professional records to date. I am aware that any falsification on this application will constitute grounds for immediate dismissal. I give my permission to Pristine Electric to perform a criminal record background check.
Date

MonthDayYear
Date
Signature
Should be Empty:

Job Application Form