Sticky Fingers jobapplication Page 4
Employment Experience
Start with your present or last job. Include part-time, military service assignments and volunteer activities.
Exclude organization names which indicate race, color, religion, sex, or national origin.
Starting Final
From To
1. Employer
phone number
dates employed
Supervisor
Address
Work Performed
Position
Hourly Rate/Salary
Reason for leaving
Starting Final
From To
2. Employer
phone number
dates employed
Supervisor
Address
Work Performed
Position
Hourly Rate/Salary
Reason for leaving
Starting Final
From To
3. Employer
phone number
dates employed
Supervisor
Address
Work Performed
Position
Hourly Rate/Salary
Reason for leaving
Number of years Attended
Education
Name and Location of School
Subjects Studied
High School/GED
College
Trade Business, or
Correspondence
School
Applicant's Statement
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation
of all statements contained in this application for employment decision. I understand that this application is not
intended to be a contract of employment.
In the event if employment, I understand that false or misleading information given in my application or interview(s)
will result in discharge. I understand that I am required to abide by all rules and regulations of the company.
_____________________________
__________
___________________
_____
Signature of Applicant
date
manager
date
