Job Application

 

PAUL'S PLACE

APPLICATION FOR EMPLOYMENT

         

Personal information

     
         
Name ____________________________
Last
____________________________
First
____________________________
Middle
 
         
Contact Address ____________________________
Street
____________________________
City
____________________________
Sate
_________
Zip
         
Permanent Address ____________________________
Street
____________________________
City
____________________________
Sate
_________
Zip
         
Phone Number ____________________________      
         
If anyone related in Our employment,
State Name and Department (omit name of Spouse)
____________________________________________________________________
         

Employment Desired

     
         
Position ______________________ Date you can start ___________________________ Salary Desired ________________________

Are you employed now? ____________________ If so, May we inquire of your present employer ? _______________________

Have you ever applied to this company before ? ________ Where? ______________________ When? ________________________
         

Questions

               
1 Do you work now?
Yes
No    
2 If yes how long have you worked in the present job ? ____ Mo ____ Yr ____ Wk
3 How long have you been out of work ? ____ Mo ____ Yr ____ Wk
4 Do you want to work Day or Night ?
Day
Night    
5 Can you work from 6 AM to 5 PM
Yes
No    
6 Can you work from 5 PM to 11PM
Yes
No    
7 Are you going to School ?
Yes
No    
8 Do you have children ?
Yes
No    
9 Are you married?
Yes
No    
10 Have you worked in this line before ?
Yes
No    
11 Can you worked weekends ?
Yes
No    
12 Do you have health problems ?
Yes
No    
13 Do you speak English ?
Yes
No    
               

FROM EMPLOYERS : ( List below last four employers, beginning with present or recent )

         
DATE
MONTH AND YEAR
Name and address of employer Salary Position Reason for leaving
    ___________________________________________ ___________ ________________ _______________________
From ___________
To ___________
    ___________________________________________ ___________ ________________ _______________________
From ___________
To ___________
    ___________________________________________ ___________ ________________ _______________________
From ___________
To ___________
    ___________________________________________ ___________ ________________ _______________________
From ___________
To ___________
         
         
         
Date: __________________________________________________________________ Signature: ______________________________
         
______________________________________________________________________________________________________
Do Not Write Below This Line
 
 
Interviewed by_______________________________________________________________________DATE:_______________________
 
Manager's Remarks From 1 to 10
             
1. _______________________________________________________________________
Yes  
No
             
2. _______________________________________________________________________
Yes  
No
             
3. _______________________________________________________________________
Yes  
No