Maymead- Employment Application

Employment Application

Please identify and describe yourself:

First name:

Last name:

Middle initial:

Date of birth:

Sex: Male Female

SSN number:

Please provide the following contact information:

Title:

Organization:

Street address:

Address (cont.):

City:

State/Province:

Zip/Postal code:

Country:

Work Phone:

Home Phone:

FAX:

E-mail:

Position Applied for:

Date you could report:

Type of employment desired?

Pay Rate expected:

What days and hours, if part-time:

Have you applied for a job with us before?

Have you ever worked for us before?

How did you come to apply?

Give a brief educational statement, to include schools attended and graduated and any other training that might be of importance:

Please give a brief summary of previous employment

Choose one of the following options:

I declare that the above be true to the best of my knowledge. Ifurther understand that the above information is for reviewing purposes only to find qualified personnel. I understand that nothing contained in this application or in the granting of an interview is intended to create an employment contract between the company or myself for either employment or for the providing of any benefit.

By submitting this form, I hereby agree to the above terms.