Sample Job Application
A sample application will help you in your introduction to a potential employer. The application that you complete contains information your employer wants to know and is scrutinized closely. The information that you include and omit is analyzed and can be used to eliminate or qualify you during the screening process.
Continue on to review application lies.
This is a sample job application illustrating what you might expect on a typical job application.
Job Application Form
Instructions: Print clearly in black or blue ink. Answer all questions. Sign and date the form.
PERSONAL INFORMATION:
First Name _____________________________
Middle Name ___________________________
Last Name _____________________________
Street Address
_______________________________________________________
City, State, Zip Code
_______________________________________________________
Phone Number
(___)___________________________________
Are you eligible to work in the United States?
Yes _______ No_______
If you are under age 18, do you have an employment/age certificates?
Yes ___ No ___
Have you been convicted of or pleaded no contest to a felony within the last five years?
Yes_______ No_______
If yes, please explain: _________________________________________
__________________________________________________________
POSITION/AVAILABILITY:
Position Applied For
________________________________________
Days/Hours Available
Monday ____
Tuesday ____
Wednesday ____
Thursday ____
Friday ____
Saturday ____
Sunday ____
Hours Available: from _______ to ______
What date are you available to start work?
________________________________________
EDUCATION:
Name and Address Of School - Degree/Diploma - Graduation Date
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Skills and Qualifications: Licenses, Skills, Training, Awards
_____________________________________________________________
_____________________________________________________________
EMPLOYMENT HISTORY:
Present Or Last Position:
Employer: _____________________________________________________
Address:______________________________________________________
Supervisor: ____________________________________________________
Phone: _______________________________
Email: ________________________________
Position Title: _________________________
From: ______________ To: ______________
Responsibilities: ____________________________________________________
__________________________________________________________
Salary: _______________
Reason for Leaving: ____________________________________________
===========
Previous Position:
Employer: _____________________________________________________
Address:______________________________________________________
Supervisor: ____________________________________________________
Phone: _______________________________
Email: ________________________________
Position Title: _________________________
From: ______________ To: ______________
Responsibilities: ___________________________________________________
__________________________________________________________
Salary: _______________
Reason for Leaving: ____________________________________________
May We Contact Your Present Employer?
Yes _____ No _____
References:
Name/Title Address Phone
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Criminal History
Have you ever been convicted of a crime? If yes, please provide details.
I certify that information contained in this application is true and complete.
NOTE: If you do have a conviction of some type, remember that a search of national databases will expose that fact. If you lie about it, you can be terminated immediately if you were hired. Some convictions can be expunged from your records, all worth checking in to doing that.