โรงเรียนไทยวิจิตรศิลปEmployment Application
Applicant Information
Full Name: Date:
Last First M.I.
Address:
Street Address Apartment/Unit #
City State ZIP Code
Phone: Email
Date Available: Social Security No.: Desired Salary: $
Position Applied for:
Are you a citizen of the United States? YES
0
NO
0
If no, are you authorized to work in the U.S.? YES
0
NO
0
Have you ever worked for this company? YES
0
NO
0
If yes, when?
Have you ever been convicted of a felony? YES
0
NO
0
If yes, explain:
Education
High School: Address:
From: To: Did you graduate? YES
0
NO
0
Diploma::
College: Address:
From: To: Did you graduate? YES
0
NO
0
Degree:
Other: Address:
From: To: Did you graduate? YES
0
NO
0
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
0
NO
0
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
0
NO
0
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
0
NO
0
Military Service
Branch: From: To:
Rank at Discharge: Type of Discharge:
If other than honorable, explain:
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: