Job Application for CPC Hi-Tech Inc.
Applicant Information
Last Name:
First Name:
Middle:
Student ID#
Street Address:
City:
State:
Zip Code:
Phone No. (
) -
-
Cell Phone No. (
) -
-
Position Desired:
Biomedical Engineering
Building Trades
Collision Repair
Computer Aided Design(CAD)
Computer Information Systems(CIS)
Creative Art Technology
Culinary Art
Electronic Services Technology
Health Sciences
Legal, Medical, or Office Specialist
Micro Mechanics, Watch, Clock & Jewelry Repair
Natural Resources / Agriscience
Network Administration
Visual Imaging / Printing Technology
Full-Time
Part-Time
Temporary
Have you worked for this company before?
Yes
No
If you are a minor under age 18, do you have a certificate of age or employment?
Yes
No
Citizen
Yes
No
Education
High School
Name of the school
Street Address:
City:
State:
Zip Code:
Major
Special skills and qualifications: List job-related licenses, skills, training, honors, awards, and special accomplishments.
Technical School
Name of the school
Street Address:
City:
State:
Zip Code:
Major
Special skills and qualifications: List job-related licenses, skills, training, honors, awards, and special accomplishments.
Middle School
Name of the school
Street Address:
City:
State:
Zip Code:
Major
Special skills and qualifications: List job-related licenses, skills, training, honors, awards, and special accomplishments.
Employment History (start with present or last position)
Employer:
Street Address:
City:
State:
Zip Code:
Supervisor:
Phone: (
) -
-
Position Title:
From:
To:
Duties:
Salary:
Reason for leaving:
Employer:
Street Address:
City:
State:
Zip Code:
Supervisor:
Phone: (
) -
-
Position Title:
From:
To:
Duties:
Salary:
Reason for leaving:
Employer:
Street Address:
City:
State:
Zip Code:
Supervisor:
Phone: (
) -
-
Position Title:
From:
To:
Duties:
Salary:
Reason for leaving:
May we contact your present employer?
Yes
No
References (exclude relatives)
1. Name/Title
Street Address:
City:
State:
Zip Code:
Phone: (
) -
-
Occupation:
2. Name/Title
Street Address:
City:
State:
Zip Code:
Phone: (
) -
-
Occupation:
3. Name/Title
Street Address:
City:
State:
Zip Code:
Phone: (
) -
-
Occupation:
I CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT ANY FALSE INFORMATION ON THIS APPLICATION MAY BE GROUNDS FOR
NOT
HIRING OR FIRING ME. ThIS INFORMATION IS ACCURATE AS OF
(Current Date).
PRINTING OF THIS FORM IS CERTIFYING TO THE ABOVE STATEMENT (File, Print Preview, Printer Icon)
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