Employment Application Form | Central File Inc Mequon, Wisconsin

* Last Name * First Name Middle

* Telephone Alternate Phone Email

* Street Address * City * State * Zip Code

I am legally eligible for employment in the U.S.?*

Yes No

I am seeking a permanent position:*

Yes No

I will be able to work days after being notified I am hired.*

If necessary for the job, I am able to:

Work overtime?*YesNo

Provide a valid Driver's License?*YesNo

If so, fill out the following:

Issuing state: Type:

Have you ever been convicted of a crime or felony?* No YesExplain:

List most recent employment first. Include summer or temporary jobs. Be sure all your experience related to this job is listed here, there is a button below to add additional history as needed. No more than 10 years history recommended.

Employer Your Title Your Duties Employer Street Address City State Zip Code Employer Contact Number Name of Supervisor Employed From (Month and Year) Employed To (Month and Year) Pay per period Reason for leaving

Add Another Employer

High School Institution Name Years Completed Field of Study

College / University Institution Name Years Completed Field of Study

Business / Technical Institution Name Years Completed Field of Study

Additional Institution Name Years Completed Field of Study

Are you a veteran?*YesNo

Duty/specialized training:

Other qualifications such as special skills, abilities or honors that should be considered:

Types of computers, software, and other equipment you are qualified to operate or repair:

Professional licenses, certifications or registrations

Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the Central File's attention:

Typing speed: words per minute.

List two personal references who are not relatives or former supervisors.

Reference Name Address Telephone Occupation Years Known

As part of our procedure for processing your employment application, your personal and employment references will be checked. Any misrepresentation or omission of facts will be considered grounds for not hiring you or, if you are subsequently hired, discharged from your job.

You will be required to present proof of authorization to work In the United States and submit to a drug test administered by a third party

I understand and agree to the information shown above.

Signature of Applicant* Please Enter Today's Date*

Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only This information is optional and failure to provide it will have no affect on your application for employment.