2008 APPLICATION FOR EMPLOYMENT
(OFFICIAL)
___________________________________________________________________________
LAST
NAME FIRST NAME MIDDLE INITIAL
___________________________________________________________________________
MAILING ADDRESS (INCLUDE YOUR 911 ADDRESS)
___________________________________________________________________________
CITY STATE ZIP CODE
___________________________________________________________________________
AREA CODE & PHONE NUMBER CELL # OTHER NUMBER
___________________________________________________________________________
DATE OF BIRTH AGE SEX SOCIAL SECURITY NUMBER
___________________________________________________________________________
PERSONAL REFERENCE AND PHONE
NUMBER
___________________________________________________________________________
EMERGENCY CONTACT PERSON PHONE NUMBER
___________________________________________________________________________
E-MAIL
ADDRESS
WHEN ARE YOU ABLE TO WORK? ________
____ SATURDAY NIGHTS
____ MIDWEEK EVENTS
________ DRAGWAY
____ WEDNESDAYS
____ SATURDAY
____ SUNDAY
____ MIDWEEK EVENTS
HAVE YOU WORKED WITH US BEFORE? ____ YES ____ NO
PLEASE COMPLETE APPLICATION AND RETURN
TO:
LOUISE I. CLOUSER
P.O.
You need to provide me a copy of your Drivers License and Social Security
Card.
PLEASE PRINT CLEARLY!
THANK-YOU