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References From Family Members Are Not Valid

This document contains an application for employment. It requests personal information such as name, address, contact details, education history, references, health information, and employment history. It also asks the applicant to describe how their skills would benefit the company. The applicant is asked to include a resume, letters of recommendation, copies of identification, and other supporting documents with the application. The applicant confirms the truthfulness of the information provided and understands any misrepresentation could result in the withdrawal of an offer or termination of employment.

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Bruno Samos
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72 views2 pages

References From Family Members Are Not Valid

This document contains an application for employment. It requests personal information such as name, address, contact details, education history, references, health information, and employment history. It also asks the applicant to describe how their skills would benefit the company. The applicant is asked to include a resume, letters of recommendation, copies of identification, and other supporting documents with the application. The applicant confirms the truthfulness of the information provided and understands any misrepresentation could result in the withdrawal of an offer or termination of employment.

Uploaded by

Bruno Samos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Personal Information

Last Name Personal Address


First Name Phone:
Social Security NO: Cellular:
Marital Status: Nationality:
Date of Birth: D/M/Y Age:

Desired Employment

Position: Salary Desired (Weekly):


Date You Can Start: Full Time: ⬜ Part Time: ⬜
Are You Willing To Do Overtime?
Do You Possess A Valid Drivers License?
List The Class That You Are Able To Drive:
Can You Operate Any Type Of Machinery?
List Knowledge Of Any Computer Program You Are Familiar With:
Education

Schools Attended: Dates Attended Degree Concentration


Primary:
Secondary:
College:
Trade School:
References (References From Family Members Are Not Valid)

Name: Address: Phone: Nature of Relationship With


Reference

Health

Do you suffer from any chronic illness that may be detrimental to the work environment? Yes ⬜ No ⬜
Do you use any addictive substances? If yes, explain
Yes ⬜ No ⬜

Do you have a clean police record? If no, explain


Yes ⬜ No ⬜

List the Past Four Employment Experiences (Starting with most recent and including present)

Name Of Company: Name Of Supervisor:


Address: Phone:
Reason For Leaving/ Termination:

Time Period of Employment:


What was your job title/ position:

Name Of Company: Name Of Supervisor:


Address: Phone:
Reason For Leaving/ Termination:

Time Period of Employment:


What was your job title/ position:

Name Of Company: Name Of Supervisor:


Address: Phone:
Reason For Leaving/ Termination:

Time Period of Employment:


What was your job title/ position:

Name Of Company: Name Of Supervisor:


Address: Phone:
Reason For Leaving/ Termination:

Time Period of Employment:


What was your job title/ position:

Other

List Languages You Can


Speak:
List Languages You Can
Write:

Through What Medium Did You Hear About This Job Vacancy?

In about 50 words, describe how your knowledge and skills would play a role in the efficient and effective advancement of
the company.

_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________

Please include with this application:


(a) Resume (b) Two letters of recommendation (c) Copy of social security ID (d) Copy of a utility bill to verify address
(e) Official police record (or receipt of application) (f) Copy of driver’s license
Accepted extras include: certificate, awards, diplomas, and report cards
I certify that the information that I have provided on this application is true and complete. I understand that is any
misrepresentation has been made by me verbally or in writing, any offer of employment made to me may be withdrawn or mu
subsequent employment with Benny’s may be terminated.

____________________________ _______________
Applicant's Signature Date

FOR INTERNAL USE ONLY


Interviewed by: Decision after interview:

______________________________________ Discard ⬜ File ⬜ Hire ⬜

Date Interviewed: ______________________ Hourly Rate: _____________


Previous Employer history verified: Salary: __________________

______________________________________ Commission: Yes ⬜ No ⬜

Reference results:
______________________________________
Start Date: ____________________________
Notes:
____________________________________________________________________________________________________________
___________________________________________________________________________________________________________

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