Employment Application for Milt’s Mini Storage

Applicant Information

Last Name

First Name

M.I.

Date

Street Address

Apartment / Unit #

City

State

Zip

Phone

Email

Date Available

Desired Salary ($)

Position Applied for

Are you a citizen of the United States?

Yes

No

If no, are you authorized to work in the U.S.?

Yes

No

Have you ever worked for this company?

Yes

No

If yes, when?

Have you ever been convicted of a felony?

Yes

No

If yes, explain

Education

High School

Address

From

To

Did you graduate?

Yes

No

Diploma

College

Address

From

To

Did you graduate?

Yes

No

Diploma

Other

Address

From

To

Did you graduate?

Yes

No

Diploma

References

Please list three professional references.

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address

Previous Employment

Company

Phone

Address

Supervisor

Job Title

Responsibilities

Starting Salary ($)

Ending Salary ($)

From

To

May we contact your previous supervisor for a reference?

Yes

No

Reason for Leaving

Company

Phone

Address

Supervisor

Job Title

Responsibilities

Starting Salary ($)

Ending Salary ($)

From

To

May we contact your previous supervisor for a reference?

Yes

No

Reason for Leaving

Company

Phone

Address

Supervisor

Job Title

Responsibilities

Starting Salary ($)

Ending Salary ($)

From

To

May we contact your previous supervisor for a reference?

Yes

No

Reason for Leaving

Military Service

Branch

From

To

Rank at Discharge

Type of Discharge

If other than honorable, explain:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

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Email

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