EMPLOYMENT APPLICATION

*First name

*Last name

*Address

*Phone

*Position

*Availability-

*Desired hours/week

*Desired salary

*Are you eligible to work in the US?

*If No are your authorized to work in the US?

*Are you avaialble to work, weekends and holiday?

*Why would you like to work at Hole in the Wall?

*List Education school - years attended - major

List other training, certificates or licenses

*List previous employer -address- supervisors name and phone #

* Dates employed

Position/Duties

*Previous pay rate

Reason for leaving

May we contact them?

List previous employer -address- supervisors name and phone #

Dates employeed

Previous pay rate

Position/Duties

Previous pay rate

Reason for Leaving

May we contact them?

References: Name - Title- Company - Phone

Signature

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Date

Month

Day

Year