Sample Employment Application Form

PLEASE PRINT ALL

INFORMATION REQUESTED

EXCEPT SIGNATURE

APPLICATION FOR EMPLOYMENT

APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS

PLEASE COMPLETE PAGES 1-4. DATE Name Last First Middle Maiden

Present address Number Street City State Zip

How long Social Security No. – – Telephone If under 18, please list age Position applied for (1)

and salary desired (2)

(Be specific)

Days/hours available to work

No Pref Thur

Mon Fri

Tue Sat

Wed Sun

How many hours can you work weekly? Can you work nights? Employment desired __ FULL-TIME ONLY __ PART-TIME ONLY __ FULL- OR PART-TIME When available for work?

TYPE OF SCHOOL NAME OF SCHOOL LOCATION

(Complete mailing

address)

NUMBER OF YEARS

COMPLETED

MAJOR &

DEGREE

High School

College

Bus. or Trade School

Professional School

HAVE YOU EVER BEEN CONVICTED OF A CRIME? __ No __ Yes If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. Ft. Collins

X

123 W. luarl St. Yes

7 years

Foreman Sheet Metal

61

3715

No

CO

X

ASAP

Precision

970-***-****

40+

Whatley

522

X

Centenial

John

80528

W

3/30/16

3

4753

PLEASE PRINT ALL

INFORMATION REQUESTED

EXCEPT SIGNATURE

APPLICATION FOR EMPLOYMENT

DO YOU HAVE A DRIVER’S LICENSE? __ Yes __ No

What is your means of transportation to work? Driver’s license

number State of issue __ Operator __ Commercial (CDL) __ Chauffeur Expiration date

Have you had any accidents during the past three years? How many? Have you had any moving violations during the past three years? How Many? OFFICE ONLY

__ Yes __ Yes Word __ Yes

Typing __ No WPM 10-key __ No Processing __ No WPM Personal __ Yes __ PC

Computer __ No __ Mac

Other Skills Please list two references other than relatives or previous employers. Name Name Position Position Company Company Address Address Telephone Telephone An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

1-Speeding

08/30/2019

No

Danny Franz Dave Goggin

X

X

481-9516

Broomfield, CO 80020

94-153-1779 CO

Loveland Colorado

2400 Industrial Ln suite 500

720-***-****

X

Kuck Mechanical

X X

40

Procraft

Foreman Sheet Metal Field Supervisor/Foreman

970

22 years in the HVAC Sheet Metal Installation field. Experienced in running /managing large Commercial projects across the entire Colorado front range. Vast real world experience in HVAC projects including but not limited to water treatment plants, Hospitals/Health centers, University Campus buildings, large retailers buildings/Distribution centers prisons/jails. X X

395 W. 67th St

Vehicle

PLEASE PRINT ALL

INFORMATION REQUESTED

EXCEPT SIGNATURE

APPLICATION FOR EMPLOYMENT

MILITARY

HAVE YOU EVER BEEN IN THE ARMED FORCES? __ Yes __ No ARE YOU NOW A MEMBER OF THE NATIONAL GUARD? __ Yes __ No Specialty Date Entered Discharge Date Work

Experience

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. Name of employer

Address

Name of last

supervisor

Employment dates Pay or salary

City, State, Zip Code

Phone number

From

To

Start

Final

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Name of employer

Address

Name of last

supervisor

Employment dates Pay or salary

City, State, Zip Code

Phone number

From

To

Start

Final

Your Last Job Title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Company's suffering financial stress Under new management Matt Roush 28.00Hr.

Foreman Sheet Metal

1/6/03-1/2/13

X

1/2/13-3/9/16

Air Comfort

150 Rome ct

Fort Collins CO 80526

970-***-****

Foreman Sheet Metal

X

Journny man sheetmetal installer promotion to Foreman position. My position held was the title of Lead Field Foreman in charge of HVAC Sheet Metal Installations Followed Project Managers move to new Company

Twenty two years sheetmetal experience

Kuck Mechanical

395 W. 67th St.

Loveland CO 80538

Ted Kuck 26.00Hr.

PLEASE PRINT ALL

INFORMATION REQUESTED

EXCEPT SIGNATURE

APPLICATION FOR EMPLOYMENT

Work

experience

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. Name of employer

Address

Name of last

supervisor

Employment dates Pay or salary

City, State, Zip Code

Phone number

From

To

Start

Final

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Name of employer

Address

Name of last

supervisor

Employment dates Pay or salary

City, State, Zip Code

Phone number

From

To

Start

Final

Your last job title

Reason for leaving (be specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

May we contact your present employer? __ Yes __ No Did you complete this application yourself __ Yes __ No If not, who did? Journyman Sheet Metal

Asher Haun 1/2/94-1/6/03

X

22.00Hr.

X

Followed project manager to new company

Contact this candidate