Employment Application TODAY'S DATE ___________________ PRINT NAME ____________________________________________________________________________ LAST
FIRST
FOR INFORMATION PURPOSES - IF YOU HAVE EVER USED ANOTHER NAME - STATE NAME AND DATES ADDRESS WHERE YOU CAN BE REACHED
MIDDLE
______________
__________________________________________________________
____________________________________________________________________________ STREET
EMAIL ADDRESS
PHONE
WHERE YOU CAN BE REACHED
CITY
STATE
ZIP CODE
____________________________________________________________________________
WHAT POSITION ARE YOU SEEKING?
___________________________________________________________________
SALARY EXPECTED _________________ LEAST EXPECTED
___________________ WHEN COULD YOU START? ___________________
YES B
COULD YOU ACCEPT PART TIME WORK?
IF YES, WHAT DAYS OR HOURS WOULD YOU BE AVAILABLE?
NO B
________________________________________________
IF HIRED, WOULD YOU CONSIDER YOUR EMPLOYMENT WITH MEEK'S SHORT-TERM OR LONG-TERM? HAVE YOU PREVIOUSLY BEEN EMPLOYED WITH THIS COMPANY? LEVEL OF EDUCATION COMPLETED:
HIGH SCHOOL
B
NO B
COLLEGE A.A.
B
YES B
ARE YOU BEING RECOMMENDED BY A CURRENT MEEK'S EMPLOYEE? IF SO, WHAT IS HIS/HER NAME
YES B
____________________
When ________________________ COLLEGE B.A.
B
OTHER
B
NO B
___________________________________________________________________
HOW DID YOU LEARN ABOUT THE JOB YOU ARE APPLYING FOR?
________________________________________________
GIVE YOUR LAST THREE (3) EMPLOYERS, STARTING WITH THE PRESENT OR MOST RECENT COMPANY INFORMATION COMPANY NAME ______________________________
DATE MO. YR.
RATE OF PAY
FROM
START
TO
FINAL
ADDRESS ____________________________________ ______________________________________________
JOB TITLE __________________________________________ IMMEDIATE SUPERVISOR ____________________________
PHONE _______________________________________ DESCRIBE YOUR EXPERIENCE TO CORRESPOND
JOB INFORMATION
SUPERVISOR'S TITLE ________________________________ REASON FOR LEAVING _______________________________
_____________________________________________________________________________
WITH THE JOB AND DATES SHOWN ABOVE COMPANY INFORMATION COMPANY NAME ______________________________
DATE MO. YR.
RATE OF PAY
FROM
START
ADDRESS ____________________________________ ______________________________________________
JOB TITLE __________________________________________ IMMEDIATE SUPERVISOR ____________________________
TO
FINAL
PHONE _______________________________________ DESCRIBE YOUR EXPERIENCE TO CORRESPOND
JOB INFORMATION
SUPERVISOR'S TITLE ________________________________ REASON FOR LEAVING _______________________________
_____________________________________________________________________________
WITH THE JOB AND DATES SHOWN ABOVE COMPANY INFORMATION COMPANY NAME ______________________________
DATE MO. YR.
RATE OF PAY
FROM
START
ADDRESS ____________________________________ ______________________________________________
JOB TITLE __________________________________________ IMMEDIATE SUPERVISOR ____________________________
TO
PHONE _______________________________________ DESCRIBE YOUR EXPERIENCE TO CORRESPOND
JOB INFORMATION
FINAL
SUPERVISOR'S TITLE ________________________________ REASON FOR LEAVING _______________________________
_____________________________________________________________________________
WITH THE JOB AND DATES SHOWN ABOVE (Over)