STA Employment Application
Full Name *
Ex. John Smith
Mailing Address *
Ex. 123 Main St. New Orleans, La 70128
Phone Number *
Ex. (504) 555-5555
E-mail *
Date Available
MM
/
DD
/
YYYY
Desired Salary
Position you are applying for *
Education *
List highest earned diploma and any college completed
References
List 3 professional references with contact info and your relationship
Ex. John Smith (504) 123-4567 Previous Manager
Reference 1
Reference 2
Reference 3
Previous Employment
List last 3 jobs you held
JOB 1
Company Name
Job Title
Responsibilities
Give a brief explanation of your responsibilities at this job.
Manager's Name
Manager's Contact Phone Number
Date Employment Began
MM
/
DD
/
YYYY
Date Employment Ended
MM
/
DD
/
YYYY
JOB 2
Company Name
Job Title
Responsibilities
Give a brief explanation of your responsibilities at this job.
Manager's Name
Manager's Contact Phone Number
Date Employment Began
MM
/
DD
/
YYYY
Date Employment Ended
MM
/
DD
/
YYYY
JOB 3
Company Name
Job Title
Responsibilities
Give a brief explanation of your responsibilities at this job.
Manager's Name
Manager's Contact Phone Number
Date Employment Began
MM
/
DD
/
YYYY
Date Employment Ended
MM
/
DD
/
YYYY
Special Skills
List any special skills or training that may help you with this position
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