Sample 2

Application for Employment

Position You Are Applying For	Desired Salary
Date Available for Work:
PERSONAL INFORMATION
Last Name First Name	Middle
Address City	State	Zip
Home Phone: Cell Phone: Email address:
Social Security Number: Are you a U.S. Citizen? [ ] Yes [ ] No Have you ever been convicted of a felony? [ ] Yes [ ] No If selected for employment are you willing to submit to a pre-employment drug screening test?	[ ] Yes [ ] No

EDUCATION
School Name	Location	Years Attended	Degree Received	Major

Other training, certifications or licenses held:

EMPLOYMENT

Employer: Dates Employed:

Work Phone: Pay Rate: _$ to

Address:

City: State: Zip:

Position:

Duties Performed:

Supervisors Name and Title:

Reason for leaving:

May we contact them? [ ] Yes [ ] No

REFERENCES
Name	Title	Company	Phone
Acknowledgement and Authorization

I certify that all answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

Signature of Applicant Date

Choose one of the samples and fill the application form with your own information. Read the following tips and use them while filling your application form.

Application form tips.

1. Complete all requested information. Don’t leave anything blank! If you don’t know the details, bring the application home and return it when it’s completed.

2. Write clearly and neatly. Use black or blue ink.

3. Check for spelling and grammar errors. Proofread your job application form before turning it in.

4. List your most recent job first when completing employment information.

5. List your most recent education first. Include vocational schools and training programs as well as college and high school.

6. References don’t necessarily have to be professional. If you have volunteered you can use members of the organizations that you have helped or if you are a student use your teachers. In all cases, ask for permission prior to using the person for a reference.

7. Don’t forget to sign your application.