Employment Application

for Your State
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Will assist an employer in screening candidates for a position. This application is specifically designed to help you obtain the necessary information in order to evaluate the applicant's qualifications and skills for the employment position.

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An Employment Application form is useful to an employer in the initial process of hiring a person (referred to as an applicant) that is applying for a position. This form is designed to require a job candidate to provide important information to the employer such as availability, qualifications, experience, skills, education, and prior work experience. This process will allow the employer to determine if the person seeking employment is the best possible candidate for the job.

It is important to note that a well created application will help avoid any lawsuits against the employer in the future for discriminatory hiring practices. It is essential that the application not include any questions such as marital status or race that may demonstrate or be perceived as a hiring bias.

It is customary for the applicant to sign the employment application. In the event that the applicant is hired, a copy of the employment application should be kept with other employment records.

This Employment Application Form is an easy and efficient way that allows an employer to obtain and review information regarding a potential candidate when beginning the hiring process.

These Important provisions are included in this employment application:
  • Personal Information: Identifies the applicant and provides background information;
  • Employment History: Useful for an employer to evaluate if prior work experience will help with the position;
  • Education: Provides educational background to determine if the applicant has sufficient education needed for the job;
  • Position Information: Determines applicant's willingness to perform certain job functions and help the applicant decide if the job is a good fit;
  • Skills: Describes applicant's skills in certain required areas.

This lawyer prepared packet includes:
  1. Instruction and checklist for Employment Application;
  2. Employment Application form.
State Law Compliant: This form complies with the laws of your state.
Number of Pages5
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#20142
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Employment Application

 

It is the policy of this company to provide equal employment opportunities to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, physical or mental handicap or veteran status.
Note:  Please type or print your answers.  If you print, please do so in blue or black ink and write neatly.  An illegible application may preclude you from consideration.
 
POSITION APPLYING FOR: ______________________________________________________________
 
PERSONAL INFORMATION
 
 
First Name            Middle Initial            Last Name
 
 
Current Address:
 
Street and Apt. #                City        State        Zip Code
 
 
Permanent Address (if different from above):
 
Street and Apt. #                City        State         Zip Code
 
Telephone: _________________________        E-mail:________________________
 
 
Social Security #:  _____-_____-______        Drivers License #: ________________ State: _____
 
 
I am an U.S. Citizen or otherwise authorized to work in the United States on an unrestricted basis:  
 Yes         No
 
If applicable, please list your visa type, visa # and expiration: ____________________________
 
 
 
Have you ever been convicted of a crime in the past seven years (you are not obligated to disclose sealed or expunged criminal records)?     Yes         No
If you answered yes, please explain:
 
 
 
 
Have you ever served in the U.S. Military?     Yes         No
If yes, please provide the following information:
Branch of Service: ____________________ Rank at time of separation: __________________
I served from _____________________ to ___________________________.
 
Special Honors:
 
 
EMPLOYMENT HISTORY:
 
 Present or Most Recent Employer
 
Employer: __________________________________     Address: _______________________________________
 
Your Position: _______________________________     Salary: _________________________________________
 
Duties:__________________________________________________________________________________________
 
Dates of Employment:_____________________ to _____________________________                         
Supervisor:_________________________    _____________________________   May we contact?     Yes       No
          Name                    Title
 
Reasons for Leaving:_________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
 
 
 
Prior Employer
 
Employer: __________________________________     Address: _______________________________________
 
Your Position: _______________________________     Salary: _________________________________________
 
Duties:__________________________________________________________________________________________
 
Dates of Employment:_____________________ to _____________________________                         
Supervisor:_________________________    _____________________________   May we contact?     Yes       No
          Name                    Title
 
Reasons for Leaving:_________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
 
 
 
Prior Employer
 
Employer: __________________________________    Address: _______________________________________
 
Your Position: _______________________________    Salary: _________________________________________
 
Duties:_______________________________________________________________________________
 
Dates of Employment:__________________ to _________________________                    
Supervisor:_____________________    _______________________   May we contact?     Yes       No
        Name                Title
 
Reason for leaving: _____________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
 
 
 
EDUCATION
 
 
High School
_____________________________________________________________________________
Name and Address
 
Did you graduate?  o Yes   o  No       Attended from _________ to _________.
 
If you did not graduate, did you receive your GED?  o Yes   o  No
 
Special honors or awards:______________________________________________________
 
 
 
Technical or Vocational School
_____________________________________________________________________________
Name and Address
 
Did you graduate?  o Yes   o  No        Attended from __________ to _________.
 
Degree or Certification:_____________________      Specialty: ________________________
 
Special honors or awards:_______________________________________________________
 
 
 
College or University
____________________________________________________________________________
Name and Address
 
Did you graduate?  o Yes   o  No        Attended from __________ to _________.
 
Degree:________________________      Major: _______________________________
 
Special honors or awards:______________________________________________________
 
 
 
College or University
____________________________________________________________________________
Name and Address
 
Did you graduate?  o Yes   o  No        Attended from __________ to _________.
 
Degree:________________________      Major: _______________________________
 
Special honors or awards:______________________________________________________
 
 
 
POSITION INFORMATION:
 
 
 Position Specifications  
 
Position Applying For: ____________________________________________________
 
How did you hear about this job? __________________________________________
 
What hours are you willing to work? ________________________________________
 
Would you be able to work weekends?     Yes         No
 
 
Are you willing to travel for the job?     Yes         No
 
 
When would you be able to start? _________________________________
 
Desired salary: ________________ per ______________
 
 
 Skills  
 
Please describe any skills you have in the following areas:
 
Computer: _____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
 
Languages Spoken (other than English): _____________________________________________________________________________________
 
Other:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
 
I hereby certify that my answers and assertions set forth in this application are true and complete to the best of my knowledge. If I am employed, I understand that any false statements on this application shall be considered sufficient cause for my dismissal. I hereby authorize this company to investigate any aspect of my prior educational and employment history.
Furthermore I understand that if I am hired, employment with this company is "at will," which means that either the company or I can terminate my employment for any reason not prohibited by state or federal law.
Signature:  ________________________________ Date ________________
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Customer Reviews

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Reviews: 1


Palmyra,

NY

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This is a great employment application. Thank you.


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