Employment Opportunity Job Application Step 1 of 4 25% Consent I agree to the privacy policy.Date(Required)Date completed / submitted MM slash DD slash YYYY Name(Required) First Last PERSONALAddress – Current(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) Enter Email Confirm Email Phone(Required)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 Select AllWill you work overtime if asked?(Required) Yes No When will you be available to begin work?(Required) MM slash DD slash YYYY BACKGROUNDHave 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 OrganizationExclude 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. EDUCATIONHigh School NameName and Location of School Number of Years CompletedDid you Graduate? Yes No Business / Trade / TechnicalName and location of School Course of Study Number of Years CompletedDid you Graduate? Yes No Degree or Diploma College / GraduateName and location of School Course of Study Number of Years CompletedDid you Graduate? Yes No Degree or Diploma EMPLOYMENTPlease give accurate, complete full-time and part-time employment record. Start with your present or most recent employer.Company Name Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of Supervisor First Last Employed – (State month and year)Start date / End date Weekly PayStart / End PhoneMay we contact this employer? Yes No State Job Title and Describe Your WorkReason for leavingCompany Name Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of Supervisor First Last Employed – (State month and year)Start date / End date Weekly PayStart / End PhoneMay we contact this employer? Yes No State Job Title and Describe Your WorkReason for leavingConsent(Required)The information provided in the Application for Employment is true, correct, and complete. If you employ me, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment creates no obligation upon you, the employer, to continue to employ me in the future I agree to the statement of Consent.
