Job Application Form - Monroe Career & Technical Institute

1 [Fake Company / Awesome Logo]Mock Job Application454 Random StreetPhone: [000-000-0000]Stroudsburg, PA 18360 Fax: [000-000-0000]Last FirstMISSN#EmailStreet AddressCitySTZipHome PhoneMobile PhoneIf yes, Date of BirthIf yes, please explain:BranchWarWhat position are you applying for?How did you hear about this position?Expected Hourly RateExpected Weekly EarningsDate AvailableCurrent or Most RecentPriorPriorEmployerAddressCity, ST, ZIPT elephoneName of Immediate SupervisorFromToFromToFromToPosition/Job TitlePayReason for LeavingMay We ContactName/LocationLast Year CompleteDegreeMajor or EmphasisHigh SchoolCollege/UniversityTrade SchoolOtherList any applicable special skills, training or 10 11 121 2 3 4 Personal InformationAre you 18 or older?Military Service?Are you entitled to work in the United States?EducationHave you been conviced of a felony or been incarcerated in connection with a felony in the past seven years?Disclaimer - By signing, I hereby certify that the above information, to the best of my knowledge, is correct.

2 I understand that falsification of this information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding work records. Are you a veteran?Prior Work ExperienceDates of EmploymentYes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No