Application For Employment (Page 4 of 5) in pdf

Application For Employment Page 4

Please explain all periods of self-employment and any gaps in your employment history.

Answer the following:

Have you ever been fired or asked to resign from a job?

Yes

Have you ever quit a job after being notified that you would be fired?

Yes

Are you subject to any visa or immigration status which will prevent lawful employment?

Yes

Have you ever been convicted of a felony or misdemeanor? If yes, please explain the nature of the conviction, the date, sentence

(if any) and any other relevant information (Conviction of a criminal offense is not a bar to employment in all cases. Each case is

considered on its merits.)

Yes

Note: If your answer to any of the above is yes, give details, show names and addresses (including zip codes) of employers,

approximate dates, and reasons in each case.

References: List three persons who are not related to you and who have definite knowledge of your qualifications and fitness for the

position for which you are applying. Do not repeat names of supervisors.

Consideration for employment may be delayed until

three individuals can be contacted.

Full name

Relationship

Present business or home address

Business or

Telephone

Occupation

(

)

(

)

(

)

Application For Employment Page 4