EMPLOYMENT APPLICATION FORM
Sample Employment Application Form
If you’ve been looking for an editable employment application form you can use as a starting point for designing a form for your organization, the following may be just what you are looking for. It is available for downloading in MS Word format and can be easily modified to meet your particular needs.
You may want to start by adding your logo where the HR Stuff logo is located, eliminate this introductory text, and then “tweak” the form to meet your particular needs. Be sure you review the “Agreement” text at the end of the form to be sure it covers points you consider important as part of your employment process. You may download the Sample Employment Application Form via the link at the bottom of this page.
Application for Employment
Contact Information
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Name:
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Last
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First
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Middle
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Address:
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Street
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City
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State
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Zip
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Telephone:
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( )
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( )
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Home
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Other
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Email:
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Emergency:
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( )
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Name
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Phone
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Position Applied For
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Job Title(s):
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(List all that apply)
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Type of Employment:
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[ ]
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[ ]
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[ ]
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Full-Time
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Part-Time
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Temporary
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Desired Shift:
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[ ]
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[ ]
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Day
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Evening
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Night
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Available Start Date:
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Desired Salary:
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Work Experience (list employers starting with the most recent)
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Employer:
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Address:
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Street
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City
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State
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Zip
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Telephone:
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( )
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( )
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Main Phone
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Fax
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Supervisor:
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( )
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Name & Title
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Phone
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Employed From:
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to
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(mm/dd/yy)
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(mm/dd/yy)
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Position Held:
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Rate of Pay:
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Primary Duties:
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Reason for Leaving:
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Work Experience (list employers starting with the most recent)
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Employer:
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Address:
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Street
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City
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State
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Zip
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Telephone:
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( )
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( )
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Main Phone
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Fax
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Supervisor:
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( )
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Name & Title
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Phone
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Employed From:
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to
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(mm/dd/yy)
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(mm/dd/yy)
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Position Held:
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Rate of Pay:
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Primary Duties:
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Reason for Leaving:
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Work Experience (list employers starting with the most recent)
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Employer:
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Address:
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Street
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City
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State
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Zip
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Telephone:
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( )
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( )
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Main Phone
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Fax
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Supervisor:
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( )
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Name & Title
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Phone
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Employed From:
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to
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(mm/dd/yy)
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(mm/dd/yy)
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Position Held:
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Rate of Pay:
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Primary Duties:
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Reason for Leaving:
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Work Experience (list employers starting with the most recent)
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Employer:
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Address:
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Street
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City
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State
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Zip
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Telephone:
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( )
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( )
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Main Phone
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Fax
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Supervisor:
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( )
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Name & Title
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Phone
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Employed From:
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to
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(mm/dd/yy)
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(mm/dd/yy)
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Position Held:
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Rate of Pay:
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Primary Duties:
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Reason for Leaving:
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Work Experience (list employers starting with the most recent)
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Employer:
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Address:
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Street
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City
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State
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Zip
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Telephone:
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( )
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( )
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Main Phone
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Fax
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Supervisor:
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( )
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Name & Title
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Phone
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Employed From:
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to
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(mm/dd/yy)
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(mm/dd/yy)
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Position Held:
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Rate of Pay:
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Primary Duties:
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Reason for Leaving:
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Education
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Type of School
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Name of School
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Mailing Address
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Years Completed
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Diploma, Degree, and Major
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High School
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College
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Grad School
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Other
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Office Skills (office staff only)
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Typing
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Yes [ ]
No [ ]
WPM: ______
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10-Key
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Yes [ ]
No [ ]
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Personal Computer
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Yes [ ]
No [ ]
Model: _____________
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Software Applications (please list)
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Word Processing:
Spreadsheet:
Other:
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Military
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Have you ever been in the armed forces?
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Yes [ ]
No [ ]
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Are you a member of the National Guard?
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Yes [ ]
No [ ]
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Military Specialty:
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Current Status:
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Other Skills Or Experience (not included above)
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Personal References (do not include relatives or previous employers)
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Name:
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Last
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First
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Middle
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Address:
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Street
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City
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State
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Zip
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Telephone:
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( )
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( )
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Home
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Other
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Occupation:
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( )
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Company Name & Job Title
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Phone
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Personal References (do not include relatives or previous employers)
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Name:
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Last
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First
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Middle
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Address:
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Street
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City
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State
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Zip
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Telephone:
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( )
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( )
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Home
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Other
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Occupation:
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( )
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Company Name & Job Title
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Phone
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Have you ever been convicted of a felony?
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Yes [ ]
No [ ]
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May we contact your current employer?
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Yes [ ]
No [ ]
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Agreement
I authorize the investigation of all statements contained in this employment application form. I understand that, if I am hired, any misrepresentation or omission of facts by me is cause for immediate dismissal at any time. I hereby give the Company/Organization permission to contact any or all schools, previous employers (unless otherwise indicated), and references, and hereby release the Company/Organization from any liability as a result of such contract.
I understand that the Company/Organization has a pre-employment drug and alcohol testing policy. Consent to and compliance with this policy is a pre-condition of my employment. I further understand that employment may be based on the successful passing of a job-related pre-employment physical examination.
I authorize the Company/Organization to request from a consumer-reporting agency an investigative consumer report including information about my credit records. Upon written request from me, the Company/Organization will provide me with information concerning the nature and scope of any such report, as required by the Fair Credit Reporting Act.
I further understand that my employment with the Company/Organization is "at will," meaning it can be terminated at will for any reason and at any time by myself or by the Company/Organization.
Signature of applicant:___________________________________ Date:________________
This Company/Organization is an equal employment opportunity employer.
Copyright © 2003-2008 by Eptiva, LLC