Employment

H&H Wholesale Parts Employment Application

 

Last Name
First Name
Middle Initial
Street Address
Apartment/Unit #
City
State
ZIP Code
Phone
E-mail Address
Social Security No.
Position Applied for
Date Available
Desired Salary
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
If yes, when?
Have you ever been convicted of a felony?
If yes, explain
High School
High school address
The years in the high school
Did you graduate?
Degree
College
College Address
The years in college
Did you graduate from college?
College degree
Other
Other school address
The years in other
Did you graduate from other?
Please list three professional references.
Full Name (Reference 1 )
Relationship
Company
Reference 1 Phone
Reference Address
Full Name (Reference 2)
Relationship with reference 2
Reference company name
Reference 2 phone number
Reference 2 Address
Previous Employment
Previous Employment Company
Previous Employment Phone
Previous Employment Address
Previous Employment Supervisor
Previous Employment Job Title
Previous Employment Starting Salary
Previous Employment Ending Salary
Previous Employment Responsibilities
The years in Previous Employment
Reason for Leaving from Previous Employment
May we contact your previous supervisor for a reference?
Previous Employment Company2
Previous Employment Phone2
Previous Employment Address2
Previous Employment Supervisor2
Previous Employment Job Title2
Previous Employment Starting Salary2
Previous Employment Ending Salary2
Previous Employment Responsibilities2
The years in Previous Employment 2
Reason for Leaving from Previous Employment 2
May we contact your previous supervisor for a reference2?
Previous Employment Company3
Previous Employment Phone3
Previous Employment Address3
Previous Employment Supervisor3
Previous Employment Job Title3
Previous Employment Starting Salary3
Previous Employment Ending Salary3
Previous Employment Responsibilities3
The years in Previous Employment 3
Reason for Leaving from Previous Employment 3
May we contact your previous supervisor for a reference3?
Military Service
Branch
The years in military
Rank at Discharge
Type of Discharge
If other than honorable, explain
Please enter the text in the image:  
Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature:

date: