Employment Application
Employment Application
Employment Application
YES NO YES NO
Are you a citizen of the United States? X If no, are you authorized to work in the U.S.? X
YES NO
Have you ever worked for this company? X If yes, when?
YES NO
Have you ever been convicted of a felony? X
If yes, explain:
Education
College: Peninsula College Address: 1502 East Lauridsen Blvd Port Angeles, WA 98362
YES NO
From: 9/15 To:12/17 Did you graduate? Degree:: 3.46 GPA
High
School: William Daylor Address: 6121 Orange Ave Sacto, CA 95823
YES NO
From: 9/85 To:6/88 Did you graduate? X Diploma:: 3.77 GPA
Other: Address:
YES NO
From: To: Did you graduate? Degree:
References
1
Please list three professional references.
Previous Employment
Responsibilities: Help customers with Merchandise, Cashier, Clean, Sale hunting and fishing licenses
From: 4/2007 To: 7/2014 Reason for Leaving: Decided to go back to school
YES NO
May we contact your previous supervisor for a reference? X
Job Title: Cashier/Assistant Manager Starting Salary:$ 5.50 Ending Salary:$ 7.50
Responsibilities: Cashier, Stock shelves, Count all money from prior days shift
From: 6/04 To: 4/07 Reason for Leaving: Moved out of state
YES NO
May we contact your previous supervisor for a reference? X
Company: Phone:
Address: Supervisor:
Responsibilities:
2
From: To: Reason for Leaving:
YES NO
May we contact your previous supervisor for a reference?
Military Service
Signature: Date: