Employment Opportunity

Date(Required)

Date completed / submitted

Name(Required)

First Last

PERSONAL

Address – Current(Required)

Street Address Address Line 2 City State ZIP Code

Length at this address?(Required)

How long have you lived at your current address?

Less than 2 years?

At least 2 years (24 monhts)?

More than 5 years?

Address – Previous (if less than 2 years at current address)(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Enter Email Confirm Email

Phone(Required)

Cell Phone

Home Phone

Are you 18 years of age or older?(Required)

Yes

No

Are you legally eligible for employment in the United States?(Required)

Yes

No

Preferred work status?(Required)

Full-time

Part-time

Seasonal

What is your availability?(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Will you work overtime if asked?(Required)

Yes

No

When will you be available to begin work?(Required)

BACKGROUND

Have you been convicted of a crime in the past ten years, exluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court?(Required)

Yes

No

If "Yes", describe in full.

Membership in Professional or Civic Organization

Exclude those which disclose your race, color, religion, or national origin.

Any Family or Friends Employed by Masterpeice?

List the names of relatives and friends working for us, other than your spouse.

EDUCATION

High School Name

Name and Location of School

Number of Years Completed

Did you Graduate?

Yes

No

Business / Trade / Technical

Name and location of School

Course of Study

Number of Years Completed

Did you Graduate?

Yes

No

Degree or Diploma

College / Graduate

Name and location of School

Course of Study

Number of Years Completed

Did you Graduate?

Yes

No

Degree or Diploma

EMPLOYMENT

Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer.

Company Name

Address

Street Address City State ZIP Code

Name of Supervisor

First Last

Employed – (State month and year)

Start date / End date

Weekly Pay

Start / End

Phone

May we contact this employer?

Yes

No

State Job Title and Describe Your Work

Reason for leaving

Company Name

Address

Street Address Address Line 2 City State ZIP Code

Name of Supervisor

First Last

Employed – (State month and year)

Start date / End date

Weekly Pay

Start / End

Phone

May we contact this employer?

Yes

No

State Job Title and Describe Your Work

Reason for leaving

Job Application

PERSONAL

BACKGROUND

EDUCATION

EMPLOYMENT