TAHOE JEWELRY JOB APPLICATION

Position Applied for

Name Phone number

Present Address (street, Apt or Unit No.)

City /state/zip Desired Salary

If under the age of 18, can you produce the necessary work certificate at the time of employment? Yes No

Type of employment desired? Full-time Part-time (Specify hours)

Are you willing to work overtime? Yes No Date on which you can start

Have you ever applied to this company before? Yes No If yes, when did you apply?
Where did you apply?

Within the past ten (10) years, have you been convicted of a felony? (Do not include convictions that were sealed, eradicated, erased,
or expunged; convictions that resulted in referral to diversion program; or marijuana-related convictions that are more two (2) years old.) Yes No

If yes please explain so that individual circumstances can be considered.

Have you ever initiated an act of violence in the workplace? Yes No

If yes, please explain so that individual circumstances can be considered. ( A yes answer will not necessarily disqualify you from employment.)

List special technical skills that you feel qualify you for the job for which you are applying
(i.e., computer programming/language, software, equipment operation, special tools or machines, etc.):

EDUCATION

High School:

School Name:

Course of Study:

Did you graduate? Yes No

# Of years completed

Degree / Major

College:

College Name:

Course of Study:

Did you graduate? Yes No

# Of years completed

Degree / Major

Post College:

Post college Name:

Course of Study:

Did you graduate? Yes No

# Of years completed

Degree / Major

Honors Received:

WORK EXPERIENCE

Start with your present or last place of employment. You may include any verifiable work performed on a volunteer basis, internships, or military service.

Employer name Address

Type of Business Phone

Dates Employed From to

Job Title Supervisor's Name

May we contact? Yes No

Wages Start Final Reason for leaving

Duties

Employer name Address

Type of Business Phone

Dates Employed From to

Job Title Supervisor's Name

May we contact? Yes No

Wages Start Final Reason for leaving

Duties

Employer name Address

Type of Business Phone

Dates Employed From to

Job Title Supervisor's Name

May we contact? Yes No

Wages Start Final Reason for leaving

Duties

REFERENCES

Please list the names of additional work-related references we may call. Individuals with no prior work experience may list school or volunteer related references.

Name

Position

Company

Work Relationship

Phone


Name

Position

Company

Work Relationship

Phone