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 :