Marker Five
Pre-Employment Application
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a citizen of the United States?
Yes
No
Are you authorized to work in the United States?
Yes
No
Are there any outstanding warrants in your name?
Yes
No
Have you ever been convicted of a felony?
Yes
No
If yes, please explain
Education
High School
Did You Graduate?
Yes
No
College
Did You Graduate?
Yes
No
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Previous Employment
First Reference
Company Name
Reference
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email (if available)
example@example.com
Second Reference
Company Name
Phone Number
-
Area Code
Phone Number
Reference
First Name
Last Name
Email ( if available)
example@example.com
Personal Reference
Reference
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email ( if available)
example@example.com
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Position
Desired Position
Server
Bartender
Kitchen Staff
Hostess
Dishwasher (great pay)
Any
Do you have experience in the following positions?
Server
Bartender
Kitchen Staff
Hostess
Dishwasher
Date Available
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Days Available
Wednesday
Thursday
Friday
Saturday
Sunday
Do You Have Transportation
Yes
No
Time Available
Days
Nights
I certify that my answers are true, complete , and not misleading to the best of my knowledge.
Agreed
Yes
Submit
Should be Empty: