Application for Employment What position are you interested in? * First Name *Last Name *E-mail * Phone *Address * Referred by?Desired Wage? *Are you 16 or older? *YESNOAre you 18 or older? *YESNOWhat date can you start? *What days are you available for work?* MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAYDo you have commitments to another employer that might affect your employment with us? If so, explain. Have you ever been convicted of a crime, other than a traffic offense? If so, explain.* Are there any positions or job duties which you cannot perform because of physical, mental, or medical handicap? If so, explain. Educational HistoryName of High School *Average Grades *Did you graduate?*YESNOName of CollegeAverage GradesDid you graduate?YESNODo you have any special training? If so, explain. Former EmployersFormer Employer(1)*Name of Employer *Name of Business *Address of Business* Dates worked?*Wage *Position *Reason for leaving? * Former Employer(2)Name of EmployerName of BusinessAddress of Business Dates worked?Wage Position Reason for leaving? Former Employer(3)Name of Employer Name of Business Address of Business Dates worked?Wage Position Reason for leaving? ReferencesGive the names of three persons that you are not related to and that you've known for at least one year.Reference (1)*Reference (2)*Reference (3)*Emergency ContactIn case of emergency please notify the following person:Emergency Contact*First Name *Last Name *Phone *Address * Please leave this field empty.Please answer the question below. It is our SPAM filter. * Which number is larger 5 or 10?