BHK OF AMERICA

    APPLICATION FOR EMPLOYMENT

    AN EQUAL OPPORTUNITY EMPLOYER

    PERSONAL INFORMATION

    FULL NAME :

    SOCIAL SECURITY NUMBER :

    (###)

         

    (##)

         

    (####)

    CURRENT ADDRESS :

    PHONE NO :

    (HOME)

            

    (OTHER)

    EMAIL ADDRESS :

    ARE YOU AT LEAST 18 YEARS OLD :

    EMPLOYMENT DESIRED

    POSITION :

    DATE YOU CAN START :

    DESIRED SALARY :

    ARE YOU CURRENTLY EMPLOYED :

    HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE :

    IF YES WHEN :

    REFERRED BY :

    EDUCATION

    NAME AND LOCATION OF SCHOOL

    COURSE OF STUDY

    DID YOU GRADUATE

    GRAMMER SCHOOL

    HIGH SCHOOL

    COLLEGE

    TRADE OR OTHER

    SUBJECTS OF SPECIAL STUDY, CERTIFICATES, RESEARCH WORK :

    IF YOU DIDN'T COMPLETE HIGH SCHOOL, DO YOU HAVE A HIGH SCHOOL EQUIVALENCY DIPLOMA ? :

    WORK EXPERIENCE : STARTING WITH THE MOST RECENT, DESCRIBE ALL PRESENT AND PAST EMPLOYMENT

    JOB TITLE :

         

    DUTIES :

    EMPLOYER :

    ADDRESS :

    PHONE # :

    TYPE OF BUSINESS :

    IMMEDIATE SUPERVISOR :

         

    NUMBER OF EMPLOYEES THAT YOU SUPERVISED :

    TITLE :

         

    EQUIPMENT USED :

    SALARY (START) :

         

    SALARY (FINISH) :

    DATES FROM (MO/YR) :

         

    DATES TO(MO/YR) :

         

    REASON FOR LEAVING :

    FULL TIME :

         

    PART TIME :

         

    HRS/WK :

         

    YOUR NAME IF DIFFERENT FROM PRESENT :

    JOB TITLE :

         

    DUTIES :

    EMPLOYER :

    ADDRESS :

    PHONE # :

    TYPE OF BUSINESS :

    IMMEDIATE SUPERVISOR :

         

    NUMBER OF EMPLOYEES THAT YOU SUPERVISED :

    TITLE :

         

    EQUIPMENT USED :

    SALARY (START) :

         

    SALARY (FINISH) :

    DATES FROM (MO/YR) :

         

    DATES TO(MO/YR) :

         

    REASON FOR LEAVING :

    FULL TIME :

         

    PART TIME :

         

    HRS/WK :

         

    YOUR NAME IF DIFFERENT FROM PRESENT :

    JOB TITLE :

         

    DUTIES :

    EMPLOYER :

    ADDRESS :

    PHONE # :

    TYPE OF BUSINESS :

    IMMEDIATE SUPERVISOR :

         

    NUMBER OF EMPLOYEES THAT YOU SUPERVISED :

    TITLE :

         

    EQUIPMENT USED :

    SALARY (START) :

         

    SALARY (FINISH) :

    DATES FROM (MO/YR) :

         

    DATES TO(MO/YR) :

         

    REASON FOR LEAVING :

    FULL TIME :

         

    PART TIME :

         

    HRS/WK :

         

    YOUR NAME IF DIFFERENT FROM PRESENT :

    REFERENCES : LIST THREE PERSONS NOT RELATED TO YOU WHO KNOW YOUR QUALIFICATIONS :

    NAME

    ADDRESS

    RELATIONSHIP

    PHONE

    MISCELLANEOUS

    FOR THE PURPOSE OF COMPLIANCE WITH THE IMMIGRATION REFORM AND CONTROL ACT, ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE UNITED STATES ?

    ARE YOU WILLING TO PROVIDE YOUR OWN TRANSPORTATION IF NECESSARY FOR YOUR EMPLOYMENT

    CERTIFICATIONS : PLEASE READ AND SIGN BELOW

    THE FACTS SET FORTH IN MY APPLICATION FOR EMPLOYMENT ARE TRUE AND COMPLETE. I UNDERSTAND THAT IF EMPLOYED, ANY FALSE STATEMENT ON THE APPLICATION MAY RESULT IN FORFEITURE ON MY PART TO ANY EMPLOYMENT, REGARDLESS OF TIME OF DISCOVERY. I UNDERSTAND THAT ALL INFORMATION ON THIS APPLICATION IS SUBJECT TO VERIFICATION AND I CONSENT TO REFERENCES, FORMER EMPLOYERS AND EDUCATIONAL INSTITUTIONS LISTED BEING CONTACTED REGARDING THIS APPLICATION. I FURTHER UNDERSTAND THAT THIS APPLICATION IS NOT AND IS NOT INTENDED TO BE A CONTRACT OF EMPLOYMENT, NOR DOES THIS APPLICATION OBLIGATE THE EMPLOYER IN ANY WAY. IF THE EMPLOYER DECIDES TO EMPLOY ME, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS AT -WILL AND CAN BE TERMINATED BY EITHER PARTY WITH OR WITHOUT NOTICE AT ANY TIME, FOR ANY REASON OR NO REASON,

    APPLICANT SIGNATURE

    DATE :