APPLICATION FOR EMPLOYMENT Pre-Employment Questionnaire Equal Opporunity Employer

 

PERSONAL INFORMATION_____________________________

Last Name:		First Name:
Address:		City:
State:		Zip Code:
Phone: 1		Phone 2:
E-mail Address:

  

EMPLOYMENT DESIRED_______________________________

Position:	Full-Time Motel Clerk	Date you can start
Salary Desired:		Are you employed now	Yes No
If so may we inquire of your present employer	Yes No	Are you legally aurthorized to work in the US	Yes No
Ever applied to this company before	Yes No	Referred By:
Where:		When:

EDUCATION HISTORY________________________________

	Name & Location of School	Years Attended	Did you Graduate	Subjects Studied
High School			Yes No
College			Yes No
Trade, Business or Correspondence School			Yes No

GENERAL INFORMATION_____________________________

Subject Of Special Study/Research Work
Special Trainning:
Special Skills
US Military or Naval Service	Rank:

FORMER EMPLOERS (LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST.)

Date Month and Year	Name and Address of Employer	Salary	Position	Reason For Leaving
TO: FROM:
TO: FROM:
TO: FROM:
TO: FROM:

REFERENCES (GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.)

 

Name	Addresss	Business	Years Known