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Application for Employment

Qualified applicants are considered for all positions without regard to race color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job related medical condition or handicap.

 

Position(s) applying for:

 

Applicant's Information

Last
Name		  

First
Name

 Middle
Initial
Company    
Address   Address(2)    
City   State

Zip

Telephone   E-mail    
SS#          

Referred by: Friend  Relative  Advertisement Other:  

Have you applied here before?   No    Yes    Date:
Have you been employed here before?   No    Yes    Date:
Are you a citizen of the United States?   No    Yes  
If no, are you legally authorized
to work in the United States?   		No    Yes  
If yes, provide Immigration Registration Number:
Are you available to work:  

Full Time

    Part Time    Shift Work
Are you laid-off and/or subject to recall? No    Yes  
If job requires, can you travel? No    Yes  
Do any of your friends or relatives,
other than your spouse, work here?		 No    Yes  
If yes, list name(s):
Have you been convicted of a felony
in the last (7) years?		 No    Yes  
If yes, explain:
   

Education

    High School College Graduate

School Name

  

Address

  

Years Completed

  

Major

  

Specialized
Training

  
       
 
Special Skills, Qualifications and Considerations

Summarize special skills and qualifications, volunteer activities, military experience, employment or other activities that relate to the position you are seeking:

 

References

List three (3) non-relatives who are familiar with your work history and qualifications:
 
Name Occupation/Company Years Known Telephone

 

Employment Experience

List each job held, starting with your present or last job (include military service)
 

Employer

  

Position

  

Address

  

Supervisor

  

Telephone

  

From

  

to

Starting
Salary

  

Ending
Salary

  

Duties

  

Reason
For
Leaving

  

 

Employer

  

Position

  

Address

  

Supervisor

  

Telephone

  

From

  

to

Starting
Salary

  

Ending
Salary

  

Duties

  

Reason
For
Leaving

  

 

Employer

  

Position

  

Address

  

Supervisor

  

Telephone

  

From
to

 

Starting
Salary

  

Ending
Salary

  

Duties

  

Reason
For
Leaving

  

 

 

Lic. No. CFC057648 ~ CAC1816020 State Certified Licensed Contractor
8283 Vico Court  •  Sarasota, Florida  •  34240    Sarasota: 941-366-7676  •  Bradenton: 941-747-8663  •  Venice: 941-488-7374