State Form 48245 PDF Details

The State Form 48245, known as the Master Job Application, plays a critical role in the hiring process within its respective jurisdiction, encompassing a detailed framework for potential employment candidates to present their personal and professional information. This form, confidential by nature as outlined under the statutes 470 IAC 1-2-7, 470 IAC 1-3-1, and 470 6-1-1, requests a variety of data starting with personal details like citizenship status, legal ability to work in the U.S., social security digits, and contact information. Applicants are also asked about their felony conviction status, driver's license validity, and type, aiming to gather all preliminary information that could influence their eligibility or suitability for a position. Beyond personal information, the form dives into desired employment specifics, educational background—including the highest level of schooling achieved and any certifications or degrees obtained—along with the delineation of special skills or languages spoken that might enhance job performance. The physical condition is addressed to understand any limitations regarding job performance, although answering is voluntary. Furthermore, a comprehensive employment history must be provided, listing the last four positions held, including the supervisor's contact information, a brief overview of duties, and reasons for leaving each role. Additionally, the application touches on military service, where applicable, volunteer activities, organizational involvement, and professional references, concluding with a declaration permitting the investigation of the provided information and acknowledging the terms of employment. This structured approach ensures a thorough assessment of candidates, facilitating the decision-making process for employers while maintaining a standardized procedure for job seekers.

QuestionAnswer
Form NameState Form 48245
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesxx, master job application, master job application state form 48245 r4 6 12 imp0021, yyyy

Form Preview Example

MASTER JOB APPLICATION

State Form 48245 (R4 / 6-12) / IMP 0021

The information contained on this form is CONFIDENTIAL according to 470 IAC 1-2-7, 470 IAC 1-3-1, and 470 6-1-1.

PERSONAL INFORMATION

Are you a U.S. citizen?

 

If No, are you legally allowed to work in the U.S.?

 

 

 

 

 

 

 

 

 

 

Registration number

 

 

 

 

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date (month, day, year)

 

 

 

 

 

 

 

 

 

 

 

 

Social Security number (Please enter last four (4) digits only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

XXX-XX- ______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name (last, first, middle)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Present address (number and street, city, state, and ZIP code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permanent address (number and street, city, state, and ZIP code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Primary telephone number

 

 

 

 

 

 

 

 

 

 

 

 

 

Alternate telephone number

 

 

(

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

 

 

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever been convicted of a felony?

If Yes, explain in full. (Attach additional sheet, if necessary.)

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you have a valid driver's license?

If Yes, what type?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

 

 

No

 

 

 

 

 

 

Operator

 

Commercial

 

 

 

 

Chauffeur

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYMENT DESIRED

 

 

 

 

 

 

 

 

 

Position for which you are applying

 

 

 

 

 

 

 

 

 

 

 

Date you can start (month, day, year)

 

Salary desired

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you currently employed?

 

 

 

 

 

 

 

 

 

 

 

 

If so, may we contact your present employer?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever applied to this company before?

 

 

 

 

 

 

Where?

 

 

 

 

 

 

 

 

 

When?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Work preference

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full-time

 

 

Part-time

 

 

No preference

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EDUCATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECK LAST

 

DID YOU

 

SUBJECTS STUDIED AND

 

 

TYPE OF SCHOOL

 

 

NAME AND LOCATION OF SCHOOL

 

 

 

 

 

CERTIFICATE, DIPLOMA, DEGREE

 

 

 

 

YEAR COMPLETED

GRADUATE?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RECEIVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ELEMENTARY/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

3

 

4

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

MIDDLE SCHOOL

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

6

 

7

 

8

 

 

No

 

 

 

 

 

 

HIGH SCHOOL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

 

 

10

 

11

 

12

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLLEGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

2

 

3

 

4

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRADE, BUSINESS OR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

2

 

3

 

4

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CORRESPONDENCE SCHOOL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Describe any special studies, skills, and experiences, or foreign language abilities that could enhance your job performance.

PHYSICAL RECORD (Do you have any physical condition which may limit your ability to perform the job for which you are applying?)

This question is voluntary, and any answers will be kept confidential.

Page 1 of 2

EMPLOYMENT HISTORY (List your last four employers starting with the most recent)

Name of employer and address:

Position title, duties, and skills:

 

 

Start date (mm/dd/yyyy)

End date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving:

 

 

 

 

 

 

 

 

 

Pay:

Per:

Name of supervisor

Telephone number

 

 

 

$

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

Name of employer and address:

Position title, duties, and skills:

 

 

Start date (mm/dd/yyyy)

End date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving:

 

 

 

 

 

 

 

 

 

Pay:

Per:

Name of supervisor

Telephone number

 

 

 

$

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

Name of employer and address:

Position title, duties, and skills:

 

 

Start date (mm/dd/yyyy)

End date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving:

 

 

 

 

 

 

 

 

 

Pay:

Per:

Name of supervisor

Telephone number

 

 

 

$

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

Name of employer and address:

Position title, duties, and skills:

 

 

Start date (mm/dd/yyyy)

End date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving:

 

 

 

 

 

 

 

 

 

Pay:

Per:

Name of supervisor

Telephone number

 

 

 

$

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Branch of service

MILITARY SERVICE

Period of active duty

 

Rank at discharge

From

To

 

 

 

 

Describe duties / specialized training.

ORGANIZATIONS AND VOLUNTEER ACTIVITIES (List responsibilites and offices)

REFERENCES (Give below the names of three persons not related to you, whom you have known at least one year)

Name

Address

Telephone Number

Business

Years Acquainted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I authorize investigation of all statements contained in this application. I understand that misrepresentation of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.

Signature

Date (month, day, year)

Page 2 of 2

How to Edit State Form 48245 Online for Free

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When it comes to blank fields of this precise document, here's what you should consider:

1. To start with, when filling out the yyyy, start with the section that includes the subsequent blanks:

master job application state form 48245 writing process outlined (part 1)

2. After the first part is filled out, go on to type in the applicable details in these - Work preference, Fulltime Parttime No preference, EDUCATION, TYPE OF SCHOOL, NAME AND LOCATION OF SCHOOL, CHECK LAST, DID YOU, YEAR COMPLETED, GRADUATE, SUBJECTS STUDIED AND, CERTIFICATE DIPLOMA DEGREE, RECEIVED, ELEMENTARY, MIDDLE SCHOOL, and HIGH SCHOOL.

Part number 2 of completing master job application state form 48245

3. Through this stage, take a look at Page of. All of these must be filled in with greatest awareness of detail.

master job application state form 48245 completion process described (stage 3)

Be extremely careful while filling out Page of and Page of, as this is the part in which many people make a few mistakes.

4. To move onward, your next stage requires typing in a few blank fields. These comprise of Name of employer and address, Position title duties and skills, Start date mmddyyyy End date, EMPLOYMENT HISTORY List your last, Reason for leaving, Pay, Per, Name of supervisor, Telephone number, Name of employer and address, Position title duties and skills, Start date mmddyyyy End date, Reason for leaving, Pay, and Per, which are key to moving forward with this process.

Telephone number, Name of employer and address, and Reason for leaving in master job application state form 48245

5. As a final point, this final section is what you need to complete before finalizing the document. The fields at this stage are the next: Reason for leaving, Pay, Per, Name of supervisor, Telephone number, MILITARY SERVICE, Branch of service, Period of active duty, Rank at discharge, Describe duties specialized, From To, ORGANIZATIONS AND VOLUNTEER, REFERENCES Give below the names of, Name, and Address.

Part # 5 of submitting master job application state form 48245

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