AN EQUAL OPPORTUNITY EMPLOYER S.D.R.S. C.T. SUB NEMO. Address Street City Zip. Address Phone # Birthday Optional: Single Married Dependents Ages

Transcription

1 Name Date Position Applied For Full Time Part Time Hours Per Week? Max Min Just Right Referred By: Newspaper / Cal Poly / Cuesta / EDD / Other EMPLOYMENT APPLICATION AN EQUAL OPPORTUNITY EMPLOYER S.D.R.S. C.T. SUB NEMO Street City Zip Phone # Birthday Optional: Single Married Dependents Ages What Office Machines Can You Operate? Experience With Cash Register: Years Checks? Cards? Closing? Rentals? Computer? Programs/Packages? Video Games? 10 Key? By Touch? Typing Speed-WPM EDUCATION: Student Where Major Year What Percent of Your Financial Support Is: 1/Self 2/Parental 3/Other Planning to Pursue Further Studies? Last Grade Completed In School: Other If You Did Not Graduate, Why? CURRENT EMPLOYMENT STATUS: Unemployed Employed Where May We Call Your Current Employer? Why Are You Leaving This Position? GENERAL INFORMATION: Do You Have Your Own Transportation? Yes No Bicycle Motorcycle Car Truck / Van: Make What Wages Do You Hope To Be Paid? To Start In One Year How Long Do You Plan To Stay In The Area? Why Are You In This Area? How Long Will You Be Needing This Job? STATE OF HEALTH: (Do not answer if you have an ADA concern) List Any Physical Handicaps Which May Limit Or Have An Effect On Your Job Performance. (e.g. Allergies, Back Conditions, Migraines etc.) What Items, Circumstances or Conditions Are You Especially Sensitive To? Do You Smoke Tobacco? No Yes If Yes, How Many Cigarettes Per Day Other Non-Harmful Substances? Definitely Not No Maybe Do You Drink Alcoholic Beverages? If Yes, How Many Drinks Per Day / Week

2 EMPLOYMENT RECORD Please Give Accurate, Complete Full-Time & Part-Time Employment Record. Begin With Present Or Most Recent Employer. 1 Telephone ( ) 2 Telephone ( ) 3 Telephone ( ) 4 Telephone ( ) 5 Telephone ( ) 6 Telephone ( ) Add An Extra Sheet, If You Feel Additional Employers Would Help. We May Contact Your Employers, Past & Present, Unless You Indicate That We Should Not. PLEASE DO NOT CONTACT Employer Number Reason

3 AVAILABILITY: PLEASE LIST SPECIFIC TIMES YOU ARE NOT AVAILABLE FOR WORK: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Morning Afternoon Evening Do You Object To Working Nights And / Or Weekends? FUTURE PLANS: Do You Have Or Are You Planning To Make Any Commitments That May Interfere Or Conflict With Your Employment? (e.g. Service Commitments, Family Or Social Obligations, etc.) Please List: ***PLEASE NOTE: If You Are Hired To Work With Us, You Will Be Required To Participate In Our Inventories. These Are Planned For 7:00 AM On Either The 1 st Or 2 nd Sunday Of November (But Also May Be Quarterly). You Should Ask Your Supervisor For The Specific Information. Please Initial That You Understand And Will Be Available. PERSONAL PROFILE: Job Related Experiences & Interests? Why Would You Be A Good Choice For This Job? Which Of Your Jobs Have You Liked Best & Why? Which Of Your Jobs Have You Liked Least, & Why? Why Would This Job Be Good For You? REFERENCES: Give The Names Of Three People Not Related To You. Name Relationship Phone Years Acquainted Do You Have Any Relatives Or Friends Who Have Worked With Us Or Are Presently Working With Us? My Strongest Assets Are: My Priorities For Improvement Are: MATH SECTION:

4 Show All Your Work On The Next 4 Sections. No Calculators Please 1. Solve The Following Additions & Subtractions. $1, $25, $2, , , subtotal 3, subtotal total , total total 2. Find The Percentage Of The Following Numbers As Noted: 79% Of $30, % Of $2, % Of $ Divide: $9, by 33 $ by 25 $ by $10.00 Was The Cost For A Piece Of Merchandise. The Selling Price With A 50% Mark-Up Would Be: The Margin On This Item Would Be: Name And Of Person To Notify In Case Of Emergency: Name Relationship Phone # APPLICANT S STATEMENT I agree that I will give 2 weeks notice if I decide to quit this job. I understand I will need a phone number and will need to be available to the company when needed. I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may be grounds for discharge. I also understand that I am required to abide by all rules and regulations of the company. Driver s License # Exp. Date State Date Signed Application Taken By At Date Interviewed By At Date There are no right or wrong answers; simply circle the statement you like best. If you have a second choice, place a check by it also. Feel free to add comments to any line you want.

5 1. A family should a. Stay close together and take care of one another b. Let each person go his own way without interference c. Provide guidance to the younger members on what is right and wrong d. Help each other succeed in a career and see that the children get ahead in the world e. Provide warmth and harmony among all the members and their friends f. Permit family life to be like real life, with all of its good and bad points 2. Freedom is a. Not having to worry about money and other problems b. Not being pushed around by people who have more power or money c. The chance to work and live where you want and be a good citizen of the community d. The opportunity to do and to pursue success e. The right of people to be themselves without prejudice and social differences f. Doing what you like to do without denying others their freedom 3. A good job is a. Having a good boss regardless of the work b. One that pays enough money c. Knowing exactly what should be done d. Where good work leads to promotion e. Working with a good group of people f. Solving interesting problems 4. Laws are a. To tell us what to do and protect us from people b. Not important unless you get caught breaking them c. Necessary, to keep order in society, and should be obeyed by everyone d. Sometimes unnecessarily restrictive in getting things done e. Useful if they promote special causes f. Necessary to make any society function 5. Money means a. Paying for the things you need to keep going b. Buying things that make you feel important c. Security for the present and future and a good standard of living d. Power and status and belonging that you have earned e. Social distance and barriers in society f. Freedom and opportunity to be myself 6. Personal possessions a. Are necessary for living b. Make you feel like someone important c. Come from hard work and should go only to people who deserve them d. Are a sign of success and a source of pride e. Are not as important as personal friendships f. Are important only for what they mean to the individual 7. A good boss a. Tells you what he/she wants done and helps you do it b. Is tough but lets you be tough also c. Sets clear policies and sees that people follow them d. Helps you understand the objectives and rewards you when you achieve them e. Is more of a friend than a boss f. Sets goals with you, then trusts you to do the job the best way