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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