Employment Application

Please note: All fields must be completed. If the question does not apply, enter "None" or "N/A". Thank you for your time.



Contact Information

Name (First M. Last)
Mailing Address
City State Zip
Physical Address (if different)
Home Phone Number
Cell Phone
Email Address



General Information

How did you find out about Street Graphics, Inc.?

Computer Usage (Check any that apply) None
Internet
Email
Word Processing
Games
Work-related
Are you able to stand for extended periods of time? Yes No
Which of the following reflects the type of work you are good at (check all that apply)? Detailed hand work
Word processing
Working with the public
Setting up procedures
Following specific instructions
Sorting and organizing
Adapting to changing conditions
Which of the following reflects the type of work you prefer (check all that apply)? Detailed hand work
Word processing
Working with the public
Setting up procedures
Following specific instructions
Sorting and organizing
Adapting to changing conditions
Our facility is strictly smoke-free. Smoking is not allowed on the premises anywhere. Any residue of smoke on hands, clothing, etc. can affect our products. Is this an environment in which you can work? Yes No



Employment History

Are you employed now? Yes No
If yes, may we contact your present employer? Yes No Not applicable

List your last four employers, starting with the most recent one first.

1.
Company Name
Address
City St Zip
Position
Salary or hourly rate
Date from (month/year) to (month/year)
Reason for leaving

2.
Company Name
Address
City State Zip
Position
Salary or hourly rate
Date from (month/year) to (month/year)
Reason for leaving

3.
Company Name
Address
City State Zip
Position
Salary or hourly rate
Date from (month/year) to (month/year)
Reason for leaving

4.
Company Name
Address
City State Zip
Position
Salary or hourly rate
Date from (month/year) to (month/year)
Reason for leaving



Education and Skills

High School
Name, city and state of school
Last year completed 1 2 3 4
Did you graduate? Yes No Not applicable
Date from (month/year) to (month/year)

College
Name, city and state of school
Last year completed 1 2 3 4
Did you graduate? Yes No Not applicable
Date from (month/year) to (month/year)

Trade, Business or Correspondence School
Name, city and state of school
Last year completed 1 2 3 4
Did you graduate? Yes No Not applicable
Date from (month/year) to (month/year)
Specific skills and/or knowledge

Other Job Related Skills



References

By providing contact information below, you are giving consent for the references to be contacted concerning potential employment with Street Graphics, Inc. Please initial here:

1.
Name
Work or personal reference? Work Personal
If work-related, reference's position
Phone
Address
City State Zip
Years Acquainted

2.
Name
Work or personal reference? Work Personal
If work-related, reference's position
Phone
Address
City State Zip
Years Acquainted

3.
Name
Work or personal reference? Work Personal
If work-related, reference's position
Phone
Address
City State Zip
Years Acquainted



Any Additional Comments



By clicking the Send Now button below, the information you have provided above will be sent to Street Graphics, Inc. for employment consideration.