| |
|
| |
| * Date: |
|
| * Social Security Number: |
xxx-xx-xxxx |
| * Name: |
Last, First, MI |
| * Address: |
|
| * Daytime Phone: |
xxx-xxx-xxxx |
|
* Have you ever applied for employment with us before?
Yes
No
|
|
* Have you been previously employed by this Company?
Yes
No
|
|
| If yes, when (month and year): |
|
| * Who referred you to this Company? |
|
|
Names of friends or relatives employed by this Company?
Name, Relationship |
|
| |
|
| |
| * Position(s) applied for: |
|
| * Hours: |
Full Time
Part Time
|
|
If part time, what days and hours are you available?
|
|
| * Date availbale to start: |
|
| * Salary Requirement: |
|
|
* Are you a United States citizen or do you have an entry permit which allows you to lawfully work in the U.S.
Yes
No
|
|
| * Are you at least eighteen years old? |
Yes
No
|
| |
|
| |
| * Name and Location of High School: |
|
| * Number of Years Attended: |
|
| * Did you graduate? |
Yes
No
|
| * Course of Study: |
|
| * Degree: |
|
| |
|
| |
| Name and Location of School: |
College / Other |
| Number of Years Attended: |
|
| Did you graduate? |
Yes
No
|
| Course of Study: |
|
| Degree: |
|
| |
|
| |
| Name and Location of School: |
College / Other |
| Number of Years Attended: |
|
| Did you graduate? |
Yes
No
|
| Course of Study: |
|
| Degree: |
|
| |
|
| |
|
List any special skills or qualifications which you feel are important to the job for which you are applying:
|
|
| |
|
| |
| Branch: |
|
| From: |
mm/yy |
| To: |
mm/yy |
| |
|
| Please give accurate and complete information. Start with present or most recent employer. |
| |
| * Company Name: |
|
| * Phone: |
xxx-xxx-xxxx |
| * Address: |
|
| * Employment Dates: |
mm/yy - mm/yy |
| * Name of Supervisor: |
|
| * Hourly Pay / Salary: |
|
| * Position and Responsibilities: |
|
| * Reason for Leaving: |
|
| |
|
| |
| Company Name: |
|
| Phone: |
xxx-xxx-xxxx |
| Employment Dates: |
mm/yy - mm/yy |
| Hourly Pay / Salary: |
|
| Position held: |
|
| |
|
| |
| Company Name: |
|
| Phone: |
xxx-xxx-xxxx |
| Employment Dates: |
mm/yy - mm/yy |
| Hourly Pay / Salary: |
|
| Position held: |
|
| |
|
| |
| * Name: |
|
| * Address: |
|
| * Phone: |
xxx-xxx-xxxx |
| |
|
| |
| * Name: |
|
| * Address: |
|
| * Phone: |
xxx-xxx-xxxx |
| |
|
| |
| * Name: |
|
| * Address: |
|
| * Phone: |
xxx-xxx-xxxx |
| |
|
I hereby certify that the answers given by me to the above questions and statements are true and correct and hereby authorize neuman pools, inc. to contact references, past or present employers, persons, schools, law enforcement agencies and any other sources of information which may be relevant to my application for employment. It is understood and agreed that any misrepresentation, false statement or omissions by me in the Application will be sufficient reason for rejection of my application or for dismissal at any time during my employment, without liability to this Company. I have read, understand and agree to the above statement. |
| |
|
| * Please initial here: |
|
| |
|
I further understand that no representative of the Company has the authority to enter into any agreement for employment for any specified period of time and that this Company is not guaranteeing employment for anyone. No employment contract is created by virtue of my being hired by this Company. I have read and understand and agree to the above statement. |
| |
| * Please initial here: |
|
| |
|
I understand that neuman pools, inc. encourages a drug-free work environment and I will submit to any and all testing put forth by the Company. I have read, understand and agree to the above statement. |
| |
| * Please initial here: |
|
| |
|
I understand that this application will remain on file for sixty days for consideration. After sixty days, if I am still interested in a position with this Company, it will be necessary for me to complete a new application form. |
| |
| * SIGN HERE: |
Electronically typing your name will serve as a signature. |
| * Date: |
dd/mm/yy |
