Employment

APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

DD slash MM slash YYYY
ARE YOU 18 YEARS OR OLDER?(Required)
ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED IN THIS COUNTRY BECAUSE OF VISA OR IMMIGRATION STATUS?(Required)

EMPLOYMENT DESIRED

MM slash DD slash YYYY

GRAMMAR SCHOOL

List
NAME AND LOCATION OF SCHOOL
NO OF YEARS
DID YOU GRADUATE
SUBJECTS STUDIED
 

HIGH SCHOOL

List
NAME AND LOCATION OF SCHOOL
NO OF YEARS
DID YOU GRADUATE
SUBJECTS STUDIED
 

COLLEGE

List
NAME AND LOCATION OF SCHOOL
NO OF YEARS
DID YOU GRADUATE
SUBJECTS STUDIED
 

TRADE, BUSINESS OR CORRESPONDENCE

List
NAME AND LOCATION OF SCHOOL
NO OF YEARS
DID YOU GRADUATE
SUBJECTS STUDIED
 

GENERAL

FORMER EMPLOYERS: (LIST BELOW LAST THREE EMPLOYERS, STARTING WITH LAST ONE FIRST)

MM slash DD slash YYYY
MM slash DD slash YYYY
NAME AND ADDRESS OF EMPLOYER
SALARY
POSITION
REASON FOR LEAVING
 
MM slash DD slash YYYY
MM slash DD slash YYYY
NAME AND ADDRESS OF EMPLOYER
SALARY
POSITION
REASON FOR LEAVING
 
MM slash DD slash YYYY
MM slash DD slash YYYY
NAME AND ADDRESS OF EMPLOYER
SALARY
POSITION
REASON FOR LEAVING
 

REFERENCES: GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.
NAME
ADDRESS
BUSINESS
YEARS ACQUAINTED
 

IN CASE OF EMERGENCY NOTIFY

NAME
ADDRESS

"I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFOR- MATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME."

IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE. AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY'S OP- TION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IT'S PRESIDENT, AND THEN ONLY WHEN IN WRONG AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRART TO THE FOREGOING.

MM slash DD slash YYYY