All American Embroidery

Employment Application


Full Name:
Address:
City:
State:
Zip:
Phone:
Position Applied for:
Are you a citizen of the United States?	Yes No
If not, do you have work papers?	Yes No
Are you a veteran?	Yes No
Branch of Service:

Education
High School:
Graduate?	Yes No
Degree:

Bus./Trade:
Graduate?	Yes No
Degree:

Col./Univ.
Graduate?	Yes No
Degree:

Grad./Prof.
Graduate?	Yes No
Degree:

Previous Employment (Begin with most recent on top)
Firm1:
Address:
Supervisor:
May we contact you?	Yes No
Nature of Business:
Dates of Employment:
Ending Salary:
Position(s) Held:
Reason For Leaving:

Firm2:
Address:
Supervisor:
May we contact:	Yes No
Nature of Business:
Dates of Employment:
Ending Salary:
Position(s) Held:
Reason For Leaving :

Firm3:
Address:
Supervisor:
May we contact?	Yes No
Nature of Business:
Dates of Employment:
Ending Salary:
Position(s) Held:
Reason For Leaving:

References: Please furnish the names and addresses of two people to whom you are not related and by whom you have been employed.
Name:
Phone #:
Address:

Name:
Phone #:
Address:

Who referred you to us? (person or agency)
Summarize you special skills or qualifications
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, finacial, or medical history and other related matters as may be necessary for an employment decision. I hereby releases employers, schools, or persons from all liability in responding to inquiries in connectio with my application. In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

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