Application for General Employment An Equal Opportunity Employer Applicant Information Last Name: First Name: Mid.Init.: Date: Street Address with Apartment/Unit #: City: State: AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Zip Code: Phone: Email: Position Applied For: Desired Start Date: Desired Salary: Are you 18 years of age or older? YesNo Have you ever worked for this company before? YesNo If yes, when? Have you ever been convicted of a felony? YesNo If yes, explain: How did you become aware of this opportunity? Referred by (if applicable): Education High School: City, State: Number of years attended: Did you graduate? YesNo GED: YesNo College: City, State: Number of years attended: Did you graduate? YesNo Degree:: Other: City, State: Number of years attended: Did you graduate? YesNo Degree:: Other: City, State: Number of years attended: Did you graduate? YesNo Degree:: Additional Information Special Skills: Activities (civic, athletic, etc.): Previous Employment If you have not had three previous employers, type "None" in any fields you cannot complete in this section. Company: Phone: Address: Supervisor: Job Title: Starting Salary: Ending Salary: Responsibilities: From: To: Reason for leaving: May we contact your previous employer for a reference? YesNo Company: Phone: Address: Supervisor: Job Title: Starting Salary: Ending Salary: Responsibilities: From: To: Reason for leaving: May we contact your previous employer for a reference? YesNo Company: Phone: Address: Supervisor: Job Title: Starting Salary: Ending Salary: Responsibilities: From: To: Reason for leaving: May we contact your previous employer for a reference? YesNo Which of these jobs did you like best? What do you like the most about this job? References List three professional references who you are not related to you. Full Name: Relationship: Company: Phone: Address: Full Name: Relationship: Company: Phone: Address: Full Name: Relationship: Company: Phone: Address: Military Service Branch: From: To: Rank at Discharge: Type of Discharge: If other than honorable, explain: Disclaimer and Signature I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. If hired, I agree to conform to the Company’s rules and regulations. 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 and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the Company. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. Any application that is not accompanied by a résumé will not be considered. For electronic submissions, résumés should be emailed to info@afp-usa.com. A typed name on the Signature line below is considered an Electronic Signature. Signature: Date: Please attach a copy of your resume:
