Application for Employment Template
Company Name: __________________________
Position Applied For: __________________________
Date: __________________________
Full Name: __________________________
Address: __________________________
City/State/ZIP: __________________________
Phone Number: __________________________
Email Address: __________________________
Social Security Number (optional): __________________________
2. Employment Eligibility
☐ I am legally authorized to work in this country.
☐ I am under 18 years of age and can provide required work permit.
3. Availability
Date available to start work: __________________________
Desired employment type: ☐ Full-time ☐ Part-time ☐ Temporary ☐ Seasonal
Desired salary/rate: __________________________
4. Work Experience
(List most recent employment first)
Employer Name: __________________________
Job Title: __________________________
Start Date: __________ End Date: __________
Reason for Leaving: __________________________
5. Education
High School: __________________________ Graduated? ☐ Yes ☐ No
College/University: __________________________ Degree: __________________________
Other Training/Certifications: __________________________
6. Skills and Qualifications
List relevant skills, certifications, or special qualifications:
7. References
Provide two professional references:
Reference 1:
Name: __________________________
Relationship: __________________________
Phone: __________________________
Email: __________________________
Reference 2:
Name: __________________________
Relationship: __________________________
Phone: __________________________
Email: __________________________
8. Applicant Certification
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false statements or omissions may result in rejection or termination of employment.
Signature: __________________________ Date: __________