APPLICATION FOR EMPLOYMENT - Amazon S3

[Pages:2]APPLICATION FOR EMPLOYMENT

POSITION(S) APPLIED FOR:____________________________________ DATE:_____________________

NAME:_______________________________________________________________________________

Last

First

Middle

ADDRESS:_____________________________________________________________________________

Street

City

State

Zip

TELEPHONE:_______________________________ SOCIAL SECURITY NUMBER:____________________

If you are under 18, can you furnish a work permit?................................................................................

Yes No

Have you ever filed an application here before?......................................................................................

Yes No

Have you ever been employed here before?.............................................................................................

Yes No

Are you legally eligible for employment in this country?......................................................................... (Proof of U.S. citizenship or immigration status will be required upon employment.)

Yes No

Date available for work................................................................................................................................. _____/_____/_____

Type of employment desired:

Full-Time

Part-Time

Temporary (Seasonal, Internship, etc.)

Driver's License Number (If required for job)_______________________________________ State____________

EMPLOYMENT HISTORY: List your last three (3) employers, assignments or volunteer activities starting

with the most recent, include military experience.

Dates Employed

From:__________ To:__________

Job Title

______________________________

Immediate Supervisor and Title

______________________________

Reason for Leaving

______________________________

May we contact:

Yes

No

Employer

Telephone #

________________________________ _____________

Address

_________________________________________________

Summarize the nature of work performed and job responsibilities

_________________________________________________

Rate of Pay

Start $______per______ Final $______per______

Dates Employed

From:__________ To:__________

Job Title

______________________________

Immediate Supervisor and Title

______________________________

Reason for Leaving

______________________________

May we contact:

Yes

No

Employer

Telephone #

________________________________ _____________

Address

_________________________________________________

Summarize the nature of work performed and job responsibilities

_________________________________________________

Rate of Pay

Start $______per______ Final $______per______

(Please continue on back page)

_____________________________________________________________________________________

Dates Employed

Employer

Telephone #

From:__________ To:__________

________________________________ _____________

Job Title

Address

______________________________

_________________________________________________

Immediate Supervisor and Title

Summarize the nature of work performed and job responsibilities

______________________________

_________________________________________________

Reason for Leaving

Rate of Pay

______________________________

Start $______per______ Final $______per______

May we contact:

Yes

No

SKILLS AND QUALIFICATIONS

Summarize special skills and qualifications acquired from employment or other experiences that may qualify your for work with WESTCO.

EDUCATIONAL BACKGROUND

NAME & LOCATION

YEARS COMPLETED DID YOU GRADUATE COURSE OF STUDY

High School

_____________________________________________________________________________________

College

Major Degree

_____________________________________________________________________________________

Other

_____________________________________________________________________________________

REFERENCES

NAME

TELEPHONE NUMBER

YEARS KNOWN

_________________________________________(____)_______________________________________

_________________________________________(____)_______________________________________

_________________________________________(____)_______________________________________

It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. Furthermore, I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.

I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representative for seeking such information and all other persons, corporations or organizations for furnishing such information.

Signature of Applicant__________________________________________

Date_____/_____/_____

................
................

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