Last:
First:
Middle:
Maiden:

Simmons Sporting Goods Employment Application Form

 

Name:

 

Present Address:

 

Street:
 
City:
 
State:
Zip:



How Long:                          
Telephone:                          
Birth date .:                          
Days/hours available to work

 


 

If under 18, please list age:

 

Position applied for:          

 

No Pref: Thur:
Mon: Fri:
Tue: Sat:
Wed: Sun:
Salary Desired:

 

How many hours can you work weekly?
Can you work nights?

 

 

Employment desired:

 

FULL-TIME ONLY
PART-TIME ONLY
FULL-OR PART-TIME
When available for work?

 

 

Education:
TYPE OF SCHOOL

 

High School
 
College
 
Bus.or Trade
school
Professional
school
MAJOR &
DEGREE

YEARS
COMPLETED

(Complete mailing address)

LOCATION

NAME OF SCHOOL


HAVE YOU EVER BEEN CONVICTED OF A CRIME? NO YES
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed , and type(s) of rehabilitation.

 

 

 

 

 

 

 

Please list two references other than relatives or previous employers.

 

 

Name Name
Position Position
Company Company
Address Address
   
Telephone Telephone

 

 

 

 

 

 

 

Work Experience
Please list your work experience for the past five years beginning with your most recent job held.
If you were self-employed, give firm name.

 

 

Name of last supervisor Employment dates Pay or salary
From:
To:
Start:
End:
Name of employer
Address
City, State, Zip
Phone Number

 

 

 

 

 

 

 

 

 

 

 

Reason for leaving (be specific):

 

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company

 

 

 

 

 

Work History Continued

 

 

Reason for leaving (be specific):

 

Name of employer
Address
City, State, Zip
Phone Number

 

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company
Name of last supervisor Employment dates Pay or salary
From:
To:
Start:
End:
Your last job title:

 

 

 

 


 

 

 

Name of employer
Address
City, State, Zip
Phone Number

 

 

Reason for leaving (be specific):

 

Name of last supervisor Employment dates Pay or salary
From:
To:
Start:
End:
Your last job title:

 

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company

 

 

 

 

 

May we contact your present employer? Yes No

 

 
Type Name here before hitting Send

 

Did you complete this application yourself? Yes No

 

 

If not, who did?