Employment Application

1 About You

2 Education

3 Employment History

4 References

Are you employed at the present time?
- Yes
- No
Employer 1
Please start with most recent employer.
Name of Employer
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Employer Address
Street Address City State / Province / Region ZIP / Postal Code Country
Supervisor's Name
Position
Duties
Starting Salary/Wages
Final Salary/Wages
Reason for Leaving
Employer 2
Name of Employer
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Employer Address
Street Address City State / Province / Region ZIP / Postal Code Country
Supervisor's Name
Position
Duties
Starting Salary/Wages
Final Salary/Wages
Reason for Leaving
Employer 3
Name of Employer
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Employer Address
Street Address City State / Province / Region ZIP / Postal Code Country
Supervisor's Name
Position
Duties
Starting Salary/Wages
Final Salary/Wages
Reason for Leaving
Military Service
Branch of Service
From
MM
DD
YYYY
To
MM
DD
YYYY
Rank
Duties
Date Discharged
MM
DD
YYYY

Conclusion
The above information is true and complete to the best of my knowledge. Should I be employed by Waterstone on Augusta, any misrepresentation or false statement contained herein may be considered cause for possible dismissal. Waterstone on Augusta, in compliance with the provisions of the Fair Credit Reporting Act of Sept. 1997, may contact directly or employ the services of investigative agencies to obtain all necessary information from the references I have listed, or any other sources, concerning my prior employment, personal history or credit standing. I reserve the right to know the names and addresses of any investigative agencies used in order that I may learn the information contained in any reports furnished to the Company. We are an equal opportunity employer. I understand this application does not constitute an employment contract of any kind. Should I be employed by Waterstone on Augusta, I may resign such employment at any time at my discretion with or without prior notice and Waterstone on Augusta may terminate my employment at any time at their discretion, with or without cause and with or without prior notice.
Signature
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Name
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High School