Cabinet Masters, Inc. - Employment Application

PRE-EMPLOYMENT QUSTIONNAIRE EQUAL OPPORTUNITY EMPLOYER

PLEASE READ BEFORE YOU FILL OUT AND SUBMIT. BY SUBMITTING THIS APPLICATION FOR REVIEW YOU CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND TO THE BEST OF YOUR KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFING STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL.

BY SUBMITTING THIS APPLICATION YOU ALSO AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONATINED HEREIN AND THE REFERENCES AND EMPLOYERS LISTED ABOVE TO GIVE ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY PERTINENT INFORMATION THEY MAY HAVE.

Date:
PERSONAL INFORMATION
Name (Last Name First):
Social Security Number:

Present Address:
City:
State:
Zip/Postal Code:

Permanent Address:
City:
State:

Phone Number:
Referred By:
EMPLOYMENT DESIRED
Position:
Date You Can Start
Salary Desired:	$
Are You Employed?	Yes No
If So May We Inquire Your Present Employer?	Yes No
Ever Applied to This Company Before?	Yes No
If So, Where?:
When?
EDUCATION HISTORY
High School:
Location:
Years Attended:
Did You Graduate?	Yes No
Subjects Studied:

College:
Location:
Years Attended:
Did You Graduate?	Yes No
Subjects Studied:

Trade School:
Location:
Years Attended:
Did You Graduate?	Yes No
Subjects Studied:
GENERAL INFORMATION
Subjects of Special Study/ Research Work :
Special Training/Skills:
U. S. Military/Naval Service:	Yes No
If Yes, Rank:
FORMER EMPLOYERS: LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH THE LAST ONE FIRST

Day, Month and Year:
Name and Address of Employer:
Salary:	$
Position:
Reason for Leaving:

Day, Month and Year:
Name and Address of Employer:
Salary:	$
Position:
Reason for Leaving:

Day, Month and Year:
Name and Address of Employer:
Salary:	$
Position:
Reason for Leaving:

Day, Month and Year:
Name and Address of Employer:
Salary:	$
Position:
Reason for Leaving:
REFERENCES
Address:
Business:
Years Known:

Address:
Business:
Years Known:

Address:
Business:
Years Known:

Address:
Business:
Years Known: