Job Application

First name:

Middle Name:

Last name:

Phone:

Email:

Address:

Street, Apt#, City, State, Zip Code

Position applying for:

Employment Eligibility

Are you legally allowed to work in the United States?

Yes

Education

High School:

City/State:

Dates To/From:

Did you graduate:

Yes

College/Trade/Technical School:

City/State:

Dates To/From:

Did you graduate:

Yes

Degree/Certification:

List additional education if applicable:

Employment History:

(Last 3 jobs or 10 years)

Employer #1:

Dates To/From:

Position/Job Title:

Starting Pay/Ending Pay:

Phone:

Address:

Reason for leaving:

Employer #2

Dates To/From:

Position/Job Title:

Starting Pay/Ending Pay:

Phone:

Address:

Reason for leaving:

Employer #3:

Dates From/To:

Position/Job Title

Starting Pay/Ending Pay:

Phone:

Address:

Reason for leaving:

Professional References

Reference #1 Name:

Ref#1 Relationship:

Ref#1 Phone:

Reference #2 Name:

Ref#2 Relationship:

Ref#2 Phone:

Reference #3 Name:

Ref#3 Relationship:

Ref#3 Phone:

Would you consent to a background check and drug screening if offered employment?

Yes

Tell us about yourself or add additional comments:

Serving Owasso, Collinsville, Skiatook, & Claremore OK

Job Application

Resumes may be emailed to okcutthecrap@gmail.com