New Era Custom Design & Cabinet Works, Inc.

Application For Employment
(Pre-Employment Questionnaire) (An Equal Opportunity Employer)

PERSONAL INFORMATION

Date:

Last Name:

First Name:

Middle Name:

Present Address:
Street:		City:		State:		Zip:

Permenant Address:
Street:		City:		State:		Zip:

Phone Number:

Are You 18 Years or Older?

Are You Prevented From Lawfully Becoming Employed In this Country Because of Visa or Immigration Status?

EMPLOYMENT DESIRED

Position:

Date You can Start:

Salary Desired:

Are You Employed Now?

If So, May We Inquire of Your Present Employer?

EDUCATION	Name and Location	Years Attended	Did You Graduate?	Subjects Studied

Grammar School

High School

College

Trade, Business or Correspondence School

GENERAL

Subject of Special Study or Research Work


Special Skills


Activities: (Civic, Athletic, Etc.) Exclude Organizations, The Name of Which Indicates The Race, Creed, Sex, Age, Marital Status, Color or Nation of Origin of its Members.

U.S Military or Naval Service:		Rank:
Present Membership in National Guard or Reserves:

Former Employers (List Below Last Three Employers, Starting with Last One First)

Date
Month and Year

Name and Address of Employer

Salary

Position

Reason for Leaving

From
To

From
To

From
To

From
To

Which of These Jobs Did You Like Best?

What Did You Like Most About This Job?

REFERENCES: Give the Names of Three Persons Not Related to You, Whom You have Known At Least One Year

Name

Address

Business

Years Acquainted

Attach a Resume (.doc and .pdf only)

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