Employment Application
Name
Last, First, Middle, Maiden
Your answer
Date of Application
Your answer
Present Address
Your answer
Home Phone
Your answer
Mobile Phone
Your answer
Email
Your answer
Social Security Number
Your answer
If under 18, please list current age:
Your answer
Position applied for
Enter in detail of what you'd like to do
Your answer
Please list your life accomplishments
For example, enter awards you have won or any special qualifications or certifications
Your answer
Salary desired
Please be specific.
Your answer
Days available
Required
How many hours can you work weekly?
Your answer
Can you work nights?
Required
Employment desired
Educational History
Please list all educational history, including a list of schools attended (name + address), # of years completed, and any major/degree.
Your answer
Have you ever been convicted of a crime?
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Your answer
Skills
Please check any skills you have. If you don't have any experience in a particular area, select "1".
Adobe InDesign Knowledge
Weak
Strong
Adobe Illustrator Knowledge
Weak
Strong
Adobe Photoshop Knowledge
Weak
Strong
Adobe Acrobat Knowledge
Weak
Strong
QuarkXPress Knowledge
Weak
Strong
Excel Knowledge
Weak
Strong
Variable Data Printing Knowledge
Weak
Strong
Color Management Knowledge
Weak
Strong
Color Copier Knowledge
Weak
Strong
DocuTech or DocuColor Skill Level
Weak
Strong
HP Indigo (commercial) Skill Level
Weak
Strong
HP Indigo (Industrial) Skill Level
Weak
Strong
Xerox iGen Skill Level
Weak
Strong
Kodak Nexpress Skill Level
Weak
Strong
Duplicator Offset Press Skill Level
Weak
Strong
Commercial Offset Press Skill Level
Weak
Strong
Paper Cutter Skill Level
Weak
Strong
Score & Perf Machine
Weak
Strong
Folder Operation
Weak
Strong
Wafer Seal or Tabbing
Weak
Strong
Envelope Inserter
Weak
Strong
Wire or Spiral Binding
Weak
Strong
Saddle-stitching
Weak
Strong
Automatic Booklet Making
Weak
Strong
UV Flatbed Press
Weak
Strong
CNC Cutting
Weak
Strong
Large Format Inkjet
Weak
Strong
Fork Lift
Weak
Strong
Pack and Shipping
Weak
Strong
Database Programming
Weak
Strong
Variable-data Printing
Weak
Strong
Presorting and Mailing
Weak
Strong
Barcode Knowledge
Weak
Strong
Customized MarketMail
Weak
Strong
Color Management
Weak
Strong
Outside Sales
Weak
Strong
Internet Marketing
Weak
Strong
Bookkeeping
Weak
Strong
Event Planning
Weak
Strong
What is your means of transportation to work?
Your answer
Do you have a driver's license?
License number
Your answer
State of issue
Your answer
License Type
Accident History
Please list any accidents or moving violations within the past three years.
Your answer
Have you ever been in the Armed Forces?
Are you now a member of the National Guard?
Did you complete this application yourself?
Military History
Please list your specialty, date entered, and discharge date as appropriate.
Your answer
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.
Your answer
Work performance relative to your peers
For example, in a previous sales position, I was the highest grossing sales person, with 25% more sales than the next guy.
Your answer
Additional Information
Please summarize any additional information necessary to describe your qualifications for the specific position you are applying for.
Your answer
References
Please list two references other than relatives or friends.
Your answer
May we contact your current employer?
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