Moneysworth Employment Opportunities

1. General

First Name

Last Name

Address

Address 2

City

State

Zip Code

Home Phone:

Cell Phone:

Position applied for

Location

How did you hear of this opening?

When can you start?

2. Education

Type of School	Name of School and Mailing Address	No. of Years Completed	Major or Degree
High School
College, Bus or Trade School
Professional School

In addition to your work history, are there other skills, qualifications, or experience that we should consider?

3. Employment History (Start with most recent employer)

Employer 1

Name of employer:

Name of last supervisor:

Employer's phone number:

Begin Date

End Date

Employer's address:

Your last job title:

Reason for leaving:

List the jobs held, duties performed and skills used or learned:

May we contact your employer:

Yes
No

Employer 2

Name of employer:

Name of last supervisor:

Employer's phone number:

Begin Date

End Date

Employer's address:

Your last job title:

Reason for leaving:

List the jobs held, duties performed and skills used or learned:

May we contact your employer:

Yes
No

Employer 3

Name of employer:

Name of last supervisor:

Employer's phone number:

Begin Date

End Date

Employer's address:

Your last job title:

Reason for leaving:

List the jobs held, duties performed and skills used or learned:

May we contact your employer:

Yes
No

4. References

LIST REFERENCES OTHER THAN RELATIVES AND PREVIOUS EMPLOYERS:

	Name	Position	Company	Telephone
Reference 1
Reference 2
Reference 3

Use this space to add any additional information necessary to describe your full qualifications for the position which you are applying for:

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history.

I do understand that this job is a seasonal position and does require working weekends.

Signature:

Date:

copy the digits from the image into this box

Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.)	Yes No
Are you looking for full-time employment?	Yes No
If no, what hours are you available?
Are you able to stand for prolonged periods of time?	Yes No
Are you able to bend?	Yes No
Can you lift 40lb?	Yes No
Can you push and pull weighted/wheeled carts?	Yes No
Can you work in an environment that is not air-conditioned?	Yes No
Can you climb up and down stairs?	Yes No
Have you had any accidents in past 3 years?	Yes No
Have you had any moving violations in the past 3 years?	Yes No
Do you agree to Moneysworth running a MWR (motor vehicle report)?	Yes No
Would you agree to a criminal background check:	Yes No
Have you worked with this company before:	Yes No

Moneysworth Application for Employment

Awesome!

1. General

2. Education

3. Employment History (Start with most recent employer)

Employer 1

Employer 2

Employer 3

4. References

LIST REFERENCES OTHER THAN RELATIVES AND PREVIOUS EMPLOYERS: