SOCCER & RUGBY IMPORTS

Employment Application

First Name

Last Name

Date

Street Address

* Birthday

Address Line 2

City

State

Zip Code

Phone Number

Email Address

Social Security Number

Date Available

Desired Salary

Are you authorized to work in the US?

YES

Have you ever been convicted of a felony?

YES

If yes please explain:

Location Applying For:

Choose

Education

Did you graduate High School?

YES

Year? School Name?

Did you graduate college?

YES

Degree? School Name?

Other Education? Explain

References [List two professional references]

Name

Relationship

Phone

Name

Relationship

Phone

Previous Employment & Military Service

Company

Supervisor & Phone

Salary & Reason for Leaving

Company

Supervisor & Phone

Salary & Reason for Leaving

Branch of Military

Type of Discharge

May we contact the above for references?

YES

By submitting this form electronically, digitally or in any way will act as my signature and I attest that all of the information I have provided is true and correct to the best of my knowledge. I am aware that missing, misleading, or false information is grounds not to hire me, or for my dismissal.

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