Jobs

APPLICANT INFORMATION
Last Name

First

M.I.

Street Address

Apt/Unit #

City

State

Zip

Phone

Email address

Date available

Driver's license no.

Date of birth

Position applied for

Are you a citizen of the United States?
 Yes No
If no, are you authorized to work in the U.S.?
 Yes No
Have you ever worked for this company?
 Yes No
If so, when?

Have you ever been convicted of a felony?
 Yes No
If yes, explain:

EDUCATION
High School

Address

From

To

Did you graduate?
 Yes No
Degree

College

Address

From

To

Did you graduate?
 Yes No
Degree

Other

Address

From

To

Did you graduate?
 Yes No
Degree

REFERENCES
Please list three professional references.
Full Name

Relationship

Company

Phone

Full Name

Relationship

Company

Phone

Full Name

Relationship

Company

Phone

PREVIOUS EMPLOYMENT
Company

Address

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?
 Yes No

Company

Address

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?
 Yes No

Company

Address

Phone

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?
 Yes No

MILITARY SERVICE
Branch

From

To

Rank at Discharge

Type of Discharge

If other than honorable, explain:

By clicking "Submit Application" below, I certify that my answers are true and complete to the best of my knowledge. I also give my consent for H&H Maintenance to conduct a background check and contact my listed references. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature (type full name below to e-sign this application)

Date