EMPLOYMENT / JOB APPLICATION PERSONAL INFORMATION FULL NAME DATE ADDRESS E-MAIL PHONE DATE AVAILABLE Desired Pay($) HOURSALARY POSITION APPLYING FOR EMPLOYMENT DESIRED FULL-TIMEPART-TIMESEASONAL EMPLOYMENT ELIGIBILITY ARE YOU A U.S. CITIZEN YESNO IF NO, ARE YOU ALLOWED TO WORK IN THE U.S.? YESNO HAVE YOU EVER WORKED FOR THIS EMPLOYER YESNO IF YES, WRITE THE START AND END DATES HAVE YOU EVER BEEN CONVICTED OF A FELONY YESNO IF YES, PLEASE EXPLAIN EMPLOYMENT ELIGIBILITY HIGH SCHOOL CITY/STATE FROM TO GRADUATE YESNO DIPLOMA
