Action Print : Company Information : Application

Date *REQUIRED*

Social Security # *REQUIRED*

Citizen of the USA *REQUIRED*

Personal Information

Name *REQUIRED*

Last/First/Middle

Street Address *REQUIRED*

City,State, Zip/Post Code *REQUIRED*

Phone *REQUIRED*

Cell

E-mail Address *REQUIRED*

IF RELATED TO ANYONE IN OUR COMPANY STATE NAME AND DEPARTMENT

REFERRED BY

Employment Desired

Position *REQUIRED*

Date you can start *REQUIRED*

Salary Desired *REQUIRED*

Are you employed now? *REQUIRED*

If so, may we inquire of your present employer? *REQUIRED*

Ever applied to this company before? *REQUIRED*

Printing / Copying / Mailing Experience

Where you worked to gain this experience?

Types of equipment you have used.

Types of computer software that you have used.

Number of years experience.

Sales Experience

Where you worked to gain this experience?

Products Sold

Type of salesperson (inside/outside/retail)

Number of years experience.

Education

Elementary School

Name

Location

Subjects Studied

High School

Name

Location

Subjects Studied

College/University

Name

Location

Subjects Studied

Trade, Business or Correspondence School

Name

Location

Subjects Studied

Former Employers

(LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST.)

1. Company Name *REQUIRED*

Location *REQUIRED*

Dates Employed *REQUIRED*

Salary *REQUIRED*

Position *REQUIRED*

Reason for Leaving *REQUIRED*

2. Company Name *REQUIRED*

Location *REQUIRED*

Dates Employed *REQUIRED*

Salary *REQUIRED*

Position *REQUIRED*

Reason for Leaving *REQUIRED*

3. Company Name

Location

Dates Employed

Salary

Position

Reason for Leaving

4. Company Name

Location

Dates Employed

Salary

Position

Reason for Leaving

References

LIST THE NAMES OF THREE BUSINESS PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.

1. Name *REQUIRED*

Address *REQUIRED*

Business *REQUIRED*

Years Acquainted *REQUIRED*

2. Name *REQUIRED*

Address *REQUIRED*

Business *REQUIRED*

Years Acquainted *REQUIRED*

3. Name *REQUIRED*

Address *REQUIRED*

Business *REQUIRED*

Years Acquainted *REQUIRED*

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF
FACTS CALLED FOR IS CAUSE FOR DISMISSAL. FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT ANY PREVIOUS NOTICE.

I agree to the terms of this application. *REQUIRED*

In This Section

Application

Personal Information

Employment Desired

Printing / Copying / Mailing Experience

Sales Experience

Education

Elementary School

High School

College/University

Trade, Business or Correspondence School

Former Employers

References