Personal information:
First name:
Last name:
Phone number:
E-mail address:
Are you 18 or older:
yes
no
Full present address:
street: apt#: city: state: zip:
Desired employment:
Desired position:
Sales Associate
Shift Supervisor
Store Manager
Purchasing
Operations
Accounting
Ad Sales
Writer
Editor
Ad Traffic Coordinator
Graphic Designer
Web Designer
IT/TECH
Administrative Assistant
Date you can start:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-
Are you employed now:
yes
no
If so may we enquire your present employer:
yes
no
Have you ever applied or worked for this company before:
yes
no
If yes, explain when and where:
include the reason for leaving if possible
In 5 sentences, please tell us why you would make a good employee:
Who referred you to this company:
employment agency
another employee
newspaper advertising
friend
state employment office
college placement service
walk in
other
Referrer's name:
Education:
Highest level of education completed:
grammar school
high school
some college
college
trade school
other
Special training, skills, studies or research work:
Former employers:
Name of present or last employer:
Job title:
Number of years employed:
0-1
1
2
3
4
5+
Salary:
Reason for leaving:
Name of previous employer:
Job title:
Number of years employed:
0-1
1
2
3
4
5+
Salary:
Reason for leaving:
Name of previous employer:
Job title:
Number of years employed:
0-1
1
2
3
4
5+
Salary:
Reason for leaving:
References:
Name 1:
Phone:
Relationship:
Years known:
Name 2:
Phone:
Relationship:
Years known:
Name 3:
Phone:
Relationship:
Years known:
Other:
Have you been convicted of a felony within the last 7 years:
yes
no
If yes, please explain:
(Answering "yes" to this question does NOT automaticaly disqualify you from a possible employment)
Cornetta Enterprises | 5961 Live Oak Parkway | Norcross, GA 30093
