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Employee Application Form 1

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Employee Application Form 1
Employee Application Form 1
Employee Application Form
Today’s date: ____________________________________
Your name: _____________________________________
Address: _______________________________________
City: _______________________ State: ____ Zip: _______
Telephone: ( )_____________ Evening: ( )____________
Further contact should be at: [ ] Day telephone [ ] Evening telephone
Working Experience
Most recent position: ________________________________
Company: _______________________________________
Location: ________________________________________
Date started: ________________ Date ended: _____________
Starting salary: $_____________ Ending salary: $___________
Reason for leaving: _________________________________
Responsibilities/comments: ____________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Supervisor: ____________________________ Okay to contact
[ ] Yes [ ] No
Previous position: __________________________________
Company: _______________________________________
Location: ________________________________________
Date started: ________________ Date ended: _____________
Starting salary: $_____________ Ending salary: $___________
Reason for leaving: _________________________________
Responsibilities/comments: ____________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Supervisor: ____________________________ Okay to contact
[ ] Yes [ ] No
Previous position: __________________________________
Company: _______________________________________
Location: ________________________________________
Date started: ________________ Date ended: _____________
Starting salary: $_____________ Ending salary: $___________
Reason for leaving: _________________________________
Responsibilities/comments: ____________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Supervisor: ____________________________ Okay to contact
[ ] Yes [ ] No
Education & Training
High school: ______________________ Diploma year: _____
Undergraduate college: ______________________________
Program: ___________________ Degree: ______ Yrs: __/__
Undergraduate college: ______________________________
Program: ___________________ Degree: ______ Yrs: __/__
Graduate college: __________________________________
Program: ___________________ Degree: ______ Yrs: __/__
Graduate college: ________________________________
Program: ___________________ Degree: ______ Yrs: __/__
Other education/training: _____________________________
______________________________________________
Special Accomplishments
______________________________________________
______________________________________________
Computer Skills
[ ] Mac [ ] Windows Other: _____________________
Page layout: ______________________________________
Image editing: ____________________________________
Vector-based drawing: _______________________________
Web design/multimedia: ______________________________
Word processing: _____________ Accounting: ____________
Other programs/skills: _______________________________
Personal References
Name: _________________________________________
Title & Company: __________________________________
Address: ________________________________________
City: ________________________ State: ____ Zip: _______
Telephone: ( ) __________________________________
Relationship: _____________________________________
Name: _________________________________________
Title & Company: __________________________________
Address: ________________________________________
City: ________________________ State: ____ Zip: _______
Telephone: ( ) __________________________________
Relationship: _____________________________________
We request all employees to sign non-compete and non-disclosure agree-
ments. Is this a concern [ ] Yes [ ] No
If yes, explain: __________________________________
___________________________________________
I certify that to the best of my knowledge the information I have provided
above is true.
______________________________________________
(Signature) (Date)
Confidential
Please answer the questions below as completely as possible:
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Employee Application Form 1