800.456.6483 [email protected]

WEATHEREND EMPLOYMENT APPLICATION

FULL NAME
Address
Are you older than 18?
I am seeking a full-time position:
I am seeking a part-time position:
If necessary, I am able to work overtime?
Do you have reliable transportation?
Are you legally eligible for employment in the US?

EMPLOYMENT HISTORY

List most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, in the summary following this section or on an extra sheet of paper if necessary.
Employer Address
Supervisor Name
Employer Address
Supervisor Name
Employer Address
Supervisor Name

Other Employment related to this job:

EDUCATION

Are you a Veteran?

SKILLS & QUALIFICATIONS

Please tell us about your skills and qualifications.

REFERENCES - List three references who are not relatives and who can attest to your work.

Name
Address
Name
Address
Name
Address

While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no effect on your application for employment.

As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you will be required to supply proof of authorization to work in the United States, have a physical examination and/or a drug test. By submitting this form, I acknowledge that I understand and agree to the information above.