APPLICATION FOR EMPLOYMENT
PERSONAL INFORMATION
NAME:
|
|
LAST |
|
|
FIRST |
MIDDLE |
|
PRESENT ADDRESS: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STREET |
APT# |
|
|
CITY |
ZIP |
|
PERMANENT ADDRESS IF DIFFERENT FROM PRESENT: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STREET |
APT# |
|
|
CITY |
ZIP |
|
DAYTIME NUMBER ( |
) |
|
|
|
EVENING TIME NUMBER ( |
) |
|
|
EMPLOYMENT DESIRED: |
|
|
|
|
|
|
|
|
|
POSITION: |
|
|
|
|
|
DATE YOU CAN START: |
|
|
|
|
|
|
RATE DESIRED: |
|
|
|
|
|
|
|
|
|
AVAILABILITY: |
|
|
|
|
|
|
|
|
|
EDUCATION BACKGROUND:
GRAMMAR SCHOOL
|
|
NAME & ADDRESS HIGHEST LEVEL COMPLETED |
SUBJECTS STUDIED |
HIGH SCHOOL |
|
|
|
|
NAME & ADDRESS |
HIGHEST LEVEL COMPLETED |
SUBJECTS STUDIED |
COLLEGE |
|
|
|
NAME & ADDRESS |
HIGHEST LEVEL COMPLETED |
SUBJECTS STUDIED |
WHAT FOREIGN LANGUAGE DO YOU SPEAK FLUENTLY?
DO YOU HAVE ANY COMPUTER EXPERIENCE?
IF SO, PLEASE LIST COMPUTER PROGRAMS YOU ARE FAMILIAR WITH:
EMPLOYMENT HISTORY:
LIST BELOW 3 PREVIOUS EMPLOYERS, STARTING WITH THE MOST RECENT ONE FIRST
DATE: MONTH & YEAR NAME & ADDRESS OF EMPLOYER REASON FOR LEAVING
FROM-TO
FROM-TO
FROM-TO
REFERENCES:
LIST NAMES OF 3 PEOPLE NOT RELATED TO YOU WHOM YOU HAVE KNOWN 1 OR MORE YEARS.
NAMEPHONE#ADDRESSBUSINESSYEARS ACQUAINTED
1)
2)
3)
PHYSICAL RECORD: DO YOU HAVE ANY PHYSICAL CONDITION(S) YOU WISH TO STATE AND REQUEST REASONABLE ACCOMADATIONS FOR?
HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENSE (FELONY OR SERIOUS
IF YES, STATE THE NATURE OF THE CRIME(S), WHEN AND WHERE CONVICTED AND DISPOSITION OF THE CASE:
I UNDERSTAND THAT NOTHING CONTAINED IN THE APPLICATION, OR CONVEYED DURING ANY INTERVIEW, WHICH MAYBE GRANTED MY EMPLOYMENT, IF HIRED, IS INTENDED TO CREATE AN EMPLOYMENT CONTRACT BETWEEN THE COMPANY AND ME IN ADDITION, I UNDERSTAND AND AGREE THAT IF I AM EMPLOYED, MY EMPLOYMENT IS FOR NO DEFINITE OR DETERMINABLE PERIOD AND MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT PRIOR NOTICE, AT THE OPTION OF EITHER MYSELF OR THE COMPANY, AND THAT NO PROMISES OR REPRESENTATIONS CONTRARY TO THE FOREGOING ARE BINDING ON THE COMPANY UNLESS MADE IN WRITING AND SIGNED BY ME AND A DESIGNATED SHIEKH/DOUMITT SHOES REPRESENTATIVE.
I FURTHER CERTIFY THAT I, THE UNDERSIGNED APPLICANT, HAVE PERSONALLY COMPLETED THIS APPLICATION. I UNDERSTAND THAT ANY OMISSION OR MISSTATEMENT OF MATERIAL FACT ON THE APPLICATION OR ON ANY DOCUMENT USED TO SECURE EMPLOYMENT SHALL BE GROUNDS FOR REJECTION OF THE APPLICATION OR FOR IMMEDIATE DISCHARGE IF I AM EMPLOYED, REGARDLESS OF THE TIME ELAPSED BEFORE DISCOVERY.
BY SIGNING THIS APPLICATION, I AUTHORIZE SHIEKH SHOES TO RUN A CREDIT REPORT.
