Employment Application

Applicant Information

First Name *

Middle Name

Last Name *

Address *

City *

State *

Zip code *

Phone *

Email *

Date Available *

Social Security Number

Are you legally authorized to work in the United States? *
YesNo

Desired salary

Position applied for

Are you bilingual?
YesNo

Have you ever worked for this company? *
YesNo

If yes, when?

Have you ever been convicted of a felony? *
YesNo

If yes, explain

Education

High School

Address

From (date)

To (date)

Did you graduate?
YesNo

Diploma





College

Address

From (date)

To (date)

Did you graduate?
YesNo

Degree





Other education

Address

From (date)

To (date)

Did you graduate?
YesNo

Degree

Previous Employment

Company

Phone

Address

Name of supervisor

Last position held

Starting salary ($)

Ending salary ($)

Responsibilities

From (date)

To (date)

Reason for leaving

May we contact your previous supervisor for a reference?
YesNo




Company

Phone

Address

Name of supervisor

Last position held

Starting salary ($)

Ending salary ($)

Responsibilities

From (date)

To (date)

Reason for leaving

May we contact your previous supervisor for a reference?
YesNo




Company

Phone

Address

Name of supervisor

Last position held

Starting salary ($)

Ending salary ($)

Responsibilities

From (date)

To (date)

Reason for leaving

May we contact your previous supervisor for a reference?
YesNo




comments

Resume





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.

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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 document form upon hire.

National Jewelry and Pawn provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. National Jewelry and Pawn complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation, and training.

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