Fillable Printable Sample Employee Application Form

Sample Employee Application Form

Sample Employment Application Form

PLEASE PRINT ALL

INFORMATION REQUESTED

EXCEPT SIGNATURE

APPLICATION FOR EMPLOYMENT

APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS

PLEASE COMPLETE PAGES 1-4.

DATE

________________________________

Name

______________________________________________________________________________________________

Last First Middle Maiden

Present address

______________________________________________________________________________________

NumberStreetCityStateZip

How long

____________________

Social Security No. _______ – _____ – _________

Telephone ( )

If under 18, please list age

_____________________

Position applied for (1)

________________________

and salary desired (2)

________________________

(Be specific)

Days/hours available to work

No Pref

_______

Thur

________

Mon

__________

Fri

__________

Tue

__________

Sat

_________

Wed

_________

Sun

________

How many hours can you work weekly?

_________________________

Can you work nights?

_______________________

Employment desired__ FULL-TIME ONLY __ PART-TIME ONLY __ FULL- OR PART-TIME

When available for work?

_______________

____________________________________________________________________________________________________

TYPE OF SCHOOL

NAME OF SCHOOL

LOCATION

(Complete mailing

address)

NUMBER OF YEARS

COMPLETED

MAJOR &

DEGREE

High School

College

Bus. or Trade School

Professional School

HAVE YOU EVER BEEN CONVICTED OF A CRIME?__ No__ Yes

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were

committed, sentence(s) imposed, and type(s) of rehabilitation.

__________________________________________________

____________________________________________________________________________________________________

PLEASE PRINT ALL

INFORMATION REQUESTED

EXCEPT SIGNATURE

APPLICATION FOR EMPLOYMENT

DO YOU HAVE A DRIVER’S LICENSE?__ Yes__ No

What is your means of transportation to work?

_______________________________________________________________

Driver’s license

number

____________________________

State of issue _______ __ Operator __ Commercial (CDL) __ Chauffeur

Expiration date

______________________

Have you had any accidents during the past three years?

How many?

___________________

Have you had any moving violations during the past three years?

How Many?

___________________

OFFICE ONLY

__ Yes__ YesWord__ Yes

Typing__ No _____ WPM10-key __ NoProcessing__ No _____ WPM

Personal __ Yes __ PC

Computer__ No__ Mac

Other

_____________________________________________

Skills

______________________________________________

Please list two references other than relatives or previous employers.

Name

_______________________________________

Name

_____________________________________________

Position

______________________________________

Position

___________________________________________

Company

_____________________________________

Company

__________________________________________

Address

______________________________________

Address

___________________________________________

_________________________________________________________________________________

Telephone ( )

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the

space below to summarize any additional information necessary to describe your full qualifications for the specific position for

which you are applying.

PLEASE PRINT ALL

INFORMATION REQUESTED

EXCEPT SIGNATURE

APPLICATION FOR EMPLOYMENT

MILITARY

HAVE YOU EVER BEEN IN THE ARMED FORCES?__ Yes__ No

ARE YOU NOW A MEMBER OF THE NATIONAL GUARD?__ Yes__ No

Specialty

___________________________________

Date Entered

________________

Discharge Date

______________

Work

Experience

Please list your work experience for the past five years beginning with your most recent job held.

If you were self-employed, give firm name. Attach additional sheets if necessary.

Name of employer

Address

Name of last

supervisor

Employment dates

Pay or salary

City, State, Zip Code

Phone number

From

Start

Final

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this

company.

Name of employer

Address

Name of last

supervisor

Employment dates

Pay or salary

City, State, Zip Code

Phone number

From

Start

Final

Your Last Job Title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this

company.

PLEASE PRINT ALL

INFORMATION REQUESTED

EXCEPT SIGNATURE

APPLICATION FOR EMPLOYMENT

Work

experience

Please list your work experience for the past five years beginning with your most recent job held.

If you were self-employed, give firm name. Attach additional sheets if necessary.

Name of employer

Address

Name of last

supervisor

Employment dates

Pay or salary

City, State, Zip Code

Phone number

From

Start

Final

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this

company.

Name of employer

Address

Name of last

supervisor

Employment dates

Pay or salary

City, State, Zip Code

Phone number

From

Start

Final

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this

company.

May we contact your present employer?__ Yes__ No

Did you complete this application yourself__ Yes__ No

If not, who did?

_______________________________________________________________________________________