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Employment Application

The document is an employment application for Mooseshack. It requests personal information such as name, address, phone number, email, availability, citizenship and education history. It also asks for references, previous work experience including supervisors and salaries, military service history if applicable, and requires a signature acknowledging the truth and completeness of the answers.

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annekelley37
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© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
9 views

Employment Application

The document is an employment application for Mooseshack. It requests personal information such as name, address, phone number, email, availability, citizenship and education history. It also asks for references, previous work experience including supervisors and salaries, military service history if applicable, and requires a signature acknowledging the truth and completeness of the answers.

Uploaded by

annekelley37
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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MOOSESHACK

Employment Application
Applicant Information
Full Name:
Last First M.I.

Date:

Address:
Street Address Apartment/Unit #

City

State

ZIP Code

Phone: Date Available: Position Applied for: Are you a citizen of the United States? Have you ever worked for this company? Have you ever been convicted of a felony? If yes, explain:
YES YES NO NO

Email Social Security No.: Desired Salary:$

If no, are you authorized to work in the U.S.? If yes, when?

YES

NO

YES

NO

Education
High School: From: College: From: Other: From: To: To: To: Address: Did you graduate? Address: Did you graduate? Address: Did you graduate?
YES NO YES NO YES NO

Diploma::

Degree:

Degree:

References
Please list three professional references.
Full Name: Company: Address: Full Name: 1 Relationship: Relationship: Phone:

Company: Address: Full Name: Company: Address:

Phone:

Relationship: Phone:

Previous Employment
Company: Address: Job Title: Responsibilities: From: To: Reason for Leaving:
YES NO

Phone: Supervisor: Starting Salary:$ Ending Salary:$

May we contact your previous supervisor for a reference?

Company: Address: Job Title: Responsibilities: From: To: Reason for Leaving:
YES NO

Phone: Supervisor: Starting Salary:$ Ending Salary:$

May we contact your previous supervisor for a reference?

Company: Address: Job Title: Responsibilities: From: To: Reason for Leaving:
YES NO

Phone: Supervisor: Starting Salary:$ Ending Salary:$

May we contact your previous supervisor for a reference?

Military Service
Branch: 2 From: To:

Rank at Discharge: If other than honorable, explain:

Type of Discharge:

Disclaimer and Signature


I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature: Date:

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