VESL Sample Job Application
Please complete job application below. Questions with asterisks must be answered.
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Date of Application *
Fist Name *
Last Name *
Street Address *
Please type number and street name
Apartment Number or Letter
City *
State *
Zip Code *
Telephone *
email address
Position applying for *
Salary desired *
Please be specific.
Days available *
Required
How many hours can you work weekly? *
Can you work nights? *
Required
Employment desired *
Do you have a high school diploma or equivalent? *
Please check
High School *
Name of School, address, city, state, year graduated
University or College *
Name of School, address, city, state, years attended
Area of Study
Technical or Computer Training *
Name of School, address, city, state, years attended
Area of Study
 
Have you ever been convicted of a crime? *
If yes, explain number of conviction(s), nature of offense(s)
Office Skills *
Please check any skills you have.
Required
Name of Reference #1
Please provide the first and last name of a reference other than relatives or friends. Provide contacts.
Relationship to Reference #1
How do you know this person?
Contact Information to Reference #1
Please provide contact information to this reference. (phone number, email, address)
Name of Reference #2
Please provide the first and last name of a reference other than relatives or friends. Provide contacts.
Relationship to Reference #2
How do you know this person?
Contact Information to Reference #2
Please provide contact information to this reference. (phone number, email, address)
Do you have a driver's license? *
What is your means of transportation to work? *
Driving and Accident History
Please list any accidents or moving violations within the past three years.
Work Experience *
Please provide a list of work experience from most recent to least recent for the last 5 years.  Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
Work Experience *
Please provide a list of work experience from most recent to least recent for the last 5 years.  Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
Work Experience *
Please provide a list of work experience from most recent to least recent for the last 5 years.  Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
Additional Information
Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.
May we contact your current employer? *
Did you complete this application yourself? *
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