High School Start Date
Resume:
One Meyda Fine Place to Work!
** ******** ********* — Yorkville, NY 13495
application For employment
Date: / /
PERSONAL IDENTIFICATION: Social Security Number: - - Driver’s License #: State: Expires:
Applicant’s Name
Present Address
Home Phone #: Emergency Phone #: Email:
Hobbies, Sports, & Other Interests:
last first middle initial
city state Zip how lonG?
Are you prevented from lawfully becoming employed in this country because of Visa or immigration status? (Proof of citizenship or immigration status will be required upon employment) Y / N Are you 18 or over? Y / N If no, how old?
Do you have working papers? Y / N Certification Number: Date of Issuance:
Position Desired:
1.
2.
3.
Salary Desired: $ per hour
Date you can begin work: / /
Are you employed by more than one company? Y / N
Please explain:
Who referred you to Meyda Tiffany?
hours you can WorK:
day from to
Example: 7:30 am 4:00 pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Full Time Part Time
Number of hours desired:
education
HIGH SCHOOL EDUCATION
School Name Highest Grade 9 10 11 12
City & State Did you graduate? Y / N
Major Course of Study Type of Degree
COLLEGE EDUCATION
School Name Highest Grade 9 10 11 12
City & State Did you graduate? Y / N
Major Course of Study Type of Degree
TRADE SCHOOL EDUCATION
School Name Highest Grade 9 10 11 12
City & State Did you graduate? Y / N
Major Course of Study Type of Degree
Please list additional skills, technical or professional knowledge that you feel would enhance this application for employment.
PERSONAL REFERENCES: (do not list relatives or previous employers) 1. name occupation
address phone
2. name occupation
address phone
3. name occupation
address phone
Have you ever been convicted of any crime other than a traffic violation? If yes state nature of crime:
Have you ever been discharged or asked to resign by any former employee? If yes, explain in detail:
no applicant will be excluded from consideration for employment to due prior arrests or convictions. List any licenses, certificates, publications or professional achievements that would support this application for employment.
employment history
IMPORTANT: Please list all Present & Previous Employment. Including Part-Time & Summer Employment
Company Name Type of Business
Address Phone #
Start Date Starting Earnings $
Leaving Date Leaving Earnings $
Duties Reason for Leaving
Company Name Type of Business
Address Phone #
Start Date Starting Earnings $
Leaving Date Leaving Earnings $
Duties Reason for Leaving
Company Name Type of Business
Address Phone #
Start Date Starting Earnings $
Leaving Date Leaving Earnings $
Duties Reason for Leaving
Company Name Type of Business
Address Phone #
Start Date Starting Earnings $
Leaving Date Leaving Earnings $
Duties Reason for Leaving
May we contact your present employers? yes no
May we contact your previous employers? yes no
What machines can you operate?
What languages do you speak?
List extracurricular activities or honors in High School List extracurricular activities or honors in College Meyda Tiffany is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age, or disability. We assure you that your opportunity for employment with Meyda Tiffany depends solely on your qualifications. I under that the unlawful manufacture, distribution, dispersion, possession, or use of a controlled substance is prohibited in the workplace and will result in immediate termination and notification of local authorities. Meyda Tiffany reserves the right to perform a random drug test on any employee, at any time without prior notification. I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give Meyda Tiffany permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release Meyda Tiffany from any liability as a result of such contact. I further understand that my employment with Meyda Tiffany shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with Meyda Tiffany is terminable at any time or reason, without recourse.
X / /
date
FOR OFFICE USE ONLY
pay rate other
$ Date:
$ Date:
$ Date:
$ Date:
$ Date:
medical insurance
Start Date: / / Plan: Contribution $:
Notes:
Languages:
Vacation:
Paid Holidays:
Profit Sharing Plan:
Employee Showroom Discount:
Contact this candidate