Employment Application

Please note that ANY information provided herein that is not 100% accurate will be grounds for immediate dismissal.

PERSONAL IDENTIFICATION
Name Social Security Number
Address Telephone Number
City
State Zip Code
Date Available
for work:

WORK PREFERENCE
Salary or pay you expect:
Kind of work desired
Describe your prior experience
in the kind of work you want
Describe any formal schooling
or training for this work
List any licenses or certificates
you may have
List any special skills you may have
(typing, machine operation, etc.)

AVAILABILITY FOR WORK

Type of Work

 Part Time    Full Time

Days of the week available (check all that apply)
Monday Friday
Tuesday Saturday
Wednesday Sunday
Thursday Holidays

Will you work overtime on occasion if necessary?

 Yes    No

Do you plan to work elsewhere or attend school & work here too?

 Yes    No

Do you have any continuing obligations which might affect your work schedule?

 Yes    No

GENERAL QUESTIONS
Are you Presently Employed? Yes No   Are you able to meet the attendance & work period time schedules required for the position you are seeking? Yes No
Do you have to give advance notice to your present employer? Yes No Have you ever worked for or applied for work at this company before? Yes No
If required, are you willing to take a physical at the expense of Redman if an offer of employment is made? Yes No Have you ever been discharged for cause? Yes No
Are you willing to take a drug test at company expense? Yes No Have you ever been refused a surety bond or ever had one cancelled? Yes No
Do you have any condition that would make you unable to perform all of the physical or mental requirements of the position you are seeking? Yes No Have you ever been convicted of a felony? (A criminal record does not necessarily bar employment) Yes No
Are you a minor (under 18 years of age)? Yes No If employed, can you provide proof of U.S. citizenship? Or if an alien, proof of identity AND authorization to work in the United States? Yes No

EDUCATION AND TRAINING

GRADE AND HIGH SCHOOL
Name of last school Average Grade
Location Date Left
Did you graduate? Yes    No Special courses (typing, etc.)
Highest year completed

COLLEGE OR UNIVERSITY
Name Location
Years Attended Degree
Major subject Scholarship Average
Date Left

OTHER (Graduate, Trade School, Correspondence School, Etc.)
Name Location
Length of course Was course completed? Yes    No
When
Subject Scholarship average

EMPLOYMENT HISTORY AND U.S. MILITARY SERVICE RECORD
(Give a complete account of your full time employment. BEGIN ON THE FIRST LINE WITH YOUR PRESENT OR MOST RECENT POSTION AND WORK BACKWARDS)
Employer Employed From
Address Employed To
Telephone Number Starting Pay
Do you authorize us to contact this employer for a reference? Yes    No Leaving Pay
Supervisor
Main duties
What did you like about this job?
What did you dislike about this job?
Why did you leave?
Employer Employed From
Address Employed To
Telephone Number Starting Pay
Do you authorize us to contact this employer for a reference? Yes    No Leaving Pay
Supervisor
Main duties
What did you like about this job?
What did you dislike about this job?
Why did you leave?

OTHER POSISTIONS AND PERIODS OF EMPLOYMENT
EMPLOYER FROM TO PAY MAIN DUTIES WHY YOU LEFT


Please note that ANY information provided herein that is not 100% accurate will be grounds for immediate dismissal.
CLICK ON THE SUBMIT ONLY ONCE!

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