District Of Columbia
Best Time to Contact You: Between the hours of
Date of Birth:
Driver's License Number:
Driver's License State:
Do you have transportation to and from work?
First Day Available for Work:
Type of Employment Desired:
Are you legally eligible for employment in the US?
Have you previously worked for this company?
"Yes, I have worked for this company in the past"
"No, I have not worked for this company before"
If you have previously worked for this company when and how long did you work?
Have you previously applied for employment with this company?
"Yes, I have applied for work here"
"No I have never applied for work here"
If you have previously applied for work with this company, when did you apply?
Are you able to meet attendance requirements for the position?
Will you work overtime if required?
If you cannot work overtime, please explain why:
How did you find out about this job opening?
Summarize any special training, skills, licenses, or certificates that may qualify you to perform job related functions in the position you are applying for:
Have you ever been bonded?
If you have been convicted, please explain. (Note: Convictions do not necessairly bar employment.):
List one to three schools attended starting with the most recent.
List Name, Telephone Number, and Years known for at least three known work or personal references. These references cannot be related to you.
List one to three last employers starting with the most recent.
Which of these jobs did you enjoy the most and why?
Please list who you would like us to contact in the event of an emergency.
"I certify all the information submitted by me on this application is true and complete. I understand that if any false information, omissions,
or misrepresentations are discovered, my application may be rejected and if I am employed, my employment may be terminated at any time.
In consideration of my employment, I agree to conform to all company rules and regulations, and I agree that my employment and compensation
can be terminated with or without cause and with or without notice at any time at either my or the company's option. I also understand that no
company representative, other than it's president, and then only when in writing and signed by the president, has any authority to enter into any
agreement for employment for any specific period of time or make any agreement contrary to the foregoing."
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