Employment Opportunities

 

* Required Fields

Applicant Information

 * Application Date

* Last Name

* First Name

M.l.

* Street Address

Apt/Unit #

 

* City

* State

* Zip Code

* Phone

* E-mail

* A copy of this application will be sent to the e-mail address provided

* Date Available

* Desired Salary

* Position

* Are you a citizen of the United States? YES NO

If no, are you authorized to work in United States? YES   NO

* Have you ever worked for this company? YES NO

If so, when?

 

* Have you ever been convicted of a felony? YES NO

If so, explain?

 

 

Education
High School Address
From Date To Date
Did you graduate? YES NO Degree
University Address
From Date To Date
Did you graduate? YES NO Degree
Other Address
From Date To Date
Did you graduate? YES NO Degree

 

References
Please list three professional references.
* Full Name * Relationship
* Company * Phone
* Address
* Full Name * Relationship
* Company * Phone
* Address
* Full Name * Relationship
* Company * Phone
* Address
 
Previous Employment
Company Phone
Address Supervisor
Job Title Starting Salary Ending Salary
Reason for leaving From Date To Date
May we contact your previous supervisor for a reference? YES NO
Company Phone
Address Supervisor
Job Title Starting Salary Ending Salary
Reason for leaving From Date To Date
May we contact your previous supervisor for a reference? YES NO
Company Phone
Address Supervisor
Job Title Starting Salary Ending Salary
Reason for leaving From Date To Date
May we contact your previous supervisor for a reference? YES NO

 

Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.

Type your name the same way you would a written signature.

* Electronic Signature

* Date

 

 

 
 
Copyright © 2007 Golden Tans of Rochester, Inc.

Home | Privacy Policy | Customer Service