Employment Application Full Name* Email Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Position Desired* Salary DesiredDate Available to Start MM slash DD slash YYYY Number of Hours Expected Per WeekDays Available to Work* Shifts Available To Work* Lunch Dinner Any Are you legally authorised to work in the U.S.A ?* Yes No EducationHigh School City/State Last year completed Did you Graduate yes no College City/State Last year completed Did you Graduate yes no Degree Major Special Skills/TrainingWork HistoryPlease List Your Four Most Recent JobsCompany (most recent) Title Employed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY City State Last Rate of Pay Reasons For Leaving Company Title Employed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY City State Last Rate of Pay Reasons For Leaving Company Title Employed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY City State Last Rate of Pay Reasons For Leaving Company Title Employed From MM slash DD slash YYYY Employed To MM slash DD slash YYYY City State Last Rate of Pay Reasons For Leaving Reference# 1 - Full Name Business Name - Position - Relationship to Applicant PhoneYears KnownReference# 2 - Full Name Business Name - Position - Relationship to Applicant PhoneYears KnownReferred BySelfCraigslistFriends or RelativesComments Upload ResumeMax. file size: 50 MB.