United States High School
Resume:
CHUCKLETOWN PRODUCTIONS & CHESSIE’S TOYS MASON AVENUE, CAPE CHARLES
PLEASE RETURN TO 215 OR 237 MASON AVENUE OR EMAIL TO ****@*********.***
Employment Application
Applying for a Position at: Chuckletown Chessie’s Either
APPLICANT INFORMATION
Last Name
First
M.I.
DOB
Street Address
Apartment/Unit #
City
State
ZIP
Phone
E-mail Address
Date Available
Social Security No.
Desired Salary
Position Applied for
Date of Birth:
Are you a citizen of the United States?
YES
NO
If no, are you authorized to work in the U.S.?
YES
NO
Have you ever worked for this company?
YES
NO
If so, when?
Have you ever been convicted of a felony?
YES
NO
If yes, explain
EDUCATION
High School
Address
From
To
Did you graduate?
YES
NO
Degree
College
Address
From
To
Did you graduate?
YES
NO
Degree
Other
Address
From
To
Did you graduate?
YES
NO
Degree
REFERENCES
Please list three professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Ending Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Ending Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Provide a short paragraph on what you love about Cape Charles and/or the Eastern Shore of Virginia:
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
Signature
Date
Contact this candidate