First Name:
Middle Name:
Last Name:
Street Address:
City, State, Zip:
Phone Number:
Cell Phone Number:
Are you eligible to work in the United States? -- Yes No
Do you have a valid drivers license? -- Yes No
Position applied for:
Full Time or Part Time Work?: -- Full-Time Part-Time
If Part-Time, please list hours you can work:
What date are you available to start work?
Salary requirement:
Education--Please list the name and address of school-degree/diploma:
Skills and Qualifications: Licenses, Skills, Training, Awards
Phone Voice: 0 1 2 3 4 5 6 7 8 9 10
Filing: 0 1 2 3 4 5 6 7 8 9 10
Data Entry: 0 1 2 3 4 5 6 7 8 9 10
Windows PC: 0 1 2 3 4 5 6 7 8 9 10
Apple Computer: 0 1 2 3 4 5 6 7 8 9 10
File Maker Pro: 0 1 2 3 4 5 6 7 8 9 10
Quick Books Pro: 0 1 2 3 4 5 6 7 8 9 10
Excel: 0 1 2 3 4 5 6 7 8 9 10
Word: 0 1 2 3 4 5 6 7 8 9 10
Internet: 0 1 2 3 4 5 6 7 8 9 10
Attendance at last job: 0 1 2 3 4 5 6 7 8 9 10
Multi-Tasking: 0 1 2 3 4 5 6 7 8 9 10
Ability to learn: 0 1 2 3 4 5 6 7 8 9 10
Negotiation Skills: 0 1 2 3 4 5 6 7 8 9 10
Self Motivation: 0 1 2 3 4 5 6 7 8 9 10
Arrive at work on time: 0 1 2 3 4 5 6 7 8 9 10
Works well with others: 0 1 2 3 4 5 6 7 8 9 10
Have supervised people: 0 1 2 3 4 5 6 7 8 9 10
Have knowledge of floor care: 0 1 2 3 4 5 6 7 8 9 10
Bilingual: -- Yes No
If yes, what language(s)?
Typing words per minute (WPM):
Employer:
Address:
Supervisor Name:
Employer E-Mail:
Position Title:
Worked from: To:
Responsibilities:
Salary:
Reason for leaving:
May we contact your present employer? -- Yes No
References (Include Name, Years Known, Phone Number):
I certify that information contained in this application is true and complete.
I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.