Employment Application Worksheet
Applicant Information Full Name: ____________________________________________________________Today’s Date: _____________ Address: ____________________________________________________________Apartment/Unit #___________ City______________________________________________________State________ZIP Code_________________ Phone: _____________________________ Email ___________________________________________________ Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? YES NO Have you ever worked for this company? YES NO If yes, when: _________________________________ Position held: _____________________________________ Do you have a relative who works for this company? YES NO If yes, person’s name and relationship: ________________________________________________________________ Have you ever been convicted of a felony? YES NO If yes, explain (include dates): ____________________________________________________________________ Employment Desired Position Applied for: ___________________________________________________________________________ Date Available: __________________ Desired Salary: $ ____________ Are you seeking: Full-time Part-time Casual/seasonal Can you work weekends? YES NO Can you work evenings? YES NO Can you work overnight? YES NO Are you available for overtime? YES NO If hired, will you have reliable transportation to and from work? YES NO Education High School: _____________________________________ Address: ________________________________________ From: _________ To: ________ Did you graduate? YES NO Diploma: __________________________ College: ________________________________________ Address: _______________________________________ From: _________ To: ________ Did you graduate? YES NO Degree:____________________________ College: ________________________________________ Address: _______________________________________ From: _________ To: ________ Did you graduate? YES NO Degree:____________________________ Other Post-Secondary: ______________________________ Address: ________________________________________ From: _________ To: ________ Did you graduate? YES NO Degree: __________________________
CCAC Job Search Manual 31
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