Application for Employment Application Contact Form Application for EmploymentLegal Full Name*Please enter your full name as it appears on your identification.Today's Date*Date of Birth*Present Address*How Long at Current Address?*Please enter a number from 0 to 100.Social Security Number*Don't worry! This will not be shared with anyone.Telephone Number*Please enter your 10 digit telephone number preceded by the area code.If under 18, please list age:Please select desired position:*Senior SuperintendentSuperintendentProject ManagerAdministrative AssistantSalary Desired:*Please enter a number from 0 to 500000.Days Available:* Select All Monday Tuesday Wednesday Thursday Friday Saturday Sunday How many hours can you work per week?*Can you work nights?* Yes No Employment Desired:* Full-Time Part-Time Full or Part-Time When are you available to start?*High School*Please enter any relevant information from your high school career. This may include GPA, classes taken, and/or any achievements relevant to this position.College*Please enter any relevant information from your time in college.Business or Trade SchoolIf attended, please enter all relevant information from your trade school.Professional SchoolHave you ever been convicted of a crime?* Yes No Criminal InformationIf yes, please explain and provide details on any/all crime(s):Do you have a driver's license?* Yes No What is your method of transportation to work?*Driver's License Number:State of Issue:D.L Expiration Date:License Type: Operator CDL (Commercial) Chauffeur Any accidents in the prior 3 years? Yes No In the past 3 years have you had any moving violations? Yes No Working SkillsOffice Skills (if Applicable)Typing/Word ProcessingPersonal Computing10 KeyOther Office Skills:References and Additional InformationReferences*Please list two references other than relatives, or previous employers.Additional Information*Sometimes, an application does not provide the full picture for employers and for candidates. As such, please provide any further details you believe qualify you for the position that you are applying to:Military InformationHave you ever served in the armed forces?* Yes No Have you ever served in the national guard?* Yes No Specialty?Date Entered?Discharge Date:Previous Employment HistoryPrevious Employers:*Please enter the name of your most recent employer:Position Held?*Dates Employed:*What was your pay/salary?*Previous Supervisor Name and Contact:*List any relevant information, achievements, or duties held at this previous employer:*Previous Employer Name:Please enter information regarding (if applicable) your other working experienceDates Employed:Most recent position held?Pay/Salary?Previous Supervisor Name and Contact:Relevant Information Regarding This Job:Please enter information regarding any other previous employer:*Please provide as much detail as you can for each previous employer up to 5 years prior.May we contact your previous supervisor?* Yes No Did you complete the application yourself?* Yes No If not who did?Name, Date, and Time*Please enter the current date and time, as well as re-enter your name.Do you consent to drug testing?* Yes No Applicants may be tested for the presence of illegal drugs.
