William's Florist Employment Application

APPLICANT INFORMATION

*Full Name

*Address Address

City

State / Province / Region

Zipcode

Country

*Contact Phone

*Contact Email

*Date Available

*Social Security No.

*Desired Salary

*Position Applying For

*Are you a citizen of the United States?

Yes

*If no, are you authorized to work in the U.S.?

Yes

Have you ever worked for this company? If so, when?

Have you ever been convicted of a felony? If yes, explain.

EDUCATION

High School

Dates Attended

College

Dates Attended

Did you graduate?

Yes

REFERENCES

*Reference 1 Full Name

*Reference 1 Relationship

*Reference 1 Company

*Reference 1 Phone

*Reference 1 Address Address

City

State / Province / Region

Zipcode

Country

*Reference 2 Full Name

*Reference 2 Relationship

*Reference 2 Company

*Reference 2 Phone

*Reference 2 Address Address

City

State / Province / Region

Zipcode

Country

*Reference 3 Full Name

*Reference 3 Relationship

*Reference 3 Company

*Reference 3 Phone

*Reference 3 Address Address

City

State / Province / Region

Zipcode

Country

PREVIOUS EMPLOYMENT

Employer 1 Company

Employer 1 Phone

Employer 1 Address Address

City

State / Province / Region

Zipcode

Country

Employer 1 Supervisor

Employer 1 Job Title

Employer 1 Starting and Ending Salary

Employer 1 Responsibilities

Employer 1 Dates of Employment

Employer 1 Reason for Leaving

May we contact your supervisor from Employer 1 for a reference?

Yes

Employer 2 Company

Employer 2 Phone

Employer 2 Address Address

City

State / Province / Region

Zipcode

Country

Employer 2 Supervisor

Employer 2 Job Title

Employer 2 Starting and Ending Salary

Employer 2 Responsibilities

Employer 2 Dates of Employment

Employer 2 Reason for Leaving

May we contact your supervisor from Employer 2 for a reference?

Yes

Employer 3 Company

Employer 3 Phone

Employer 3 Address Address

City

State / Province / Region

Zipcode

Country

Employer 3 Supervisor

Employer 3 Job Title

Employer 3 Starting and Ending Salary

Employer 3 Responsibilities

Employer 3 Dates of Employment

Employer 3 Reason for Leaving

May we contact your supervisor from Employer 3 for a reference?

Yes

MILITARY SERVICE

Branch

Dates of Service

Rank at Discharge

Type of Discharge

If other than honorable, explain.

*Why would you love this job?

*DISCLAIMER AND SIGNATURE

*I certify that my answers are true and complete to the best of my knowledge.

Yes

*Signature

*Date