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Job Opportunities - Job Application

 

Applicant Information
     
Last Name:  
First Name:  
M.I.:  
Date:  
Street Address:  
Apartment/Unit #  
City:  
State:  
Zip Code:  
Phone:  
E-mail:  
Date Available:  
Social Security No.:  
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
Degree:  
     
     
College:  
Address:  
From:  
To:  
Did you graduate?:  
 Yes    No
Degree:  
     
     
Other:  
Address:  
From:  
To:  
Did you graduate?:  
 Yes    No
Degree:  
     
References
Please list three professional references.
 
Reference 1    
     
Full Name:  
Relationship:             
Company:  
Phone:  
Address:  
     
     
Reference 2    
     
Full Name:  
Relationship:  
Company:  
Phone:  
Address:  
     
     
Reference 3    
     
Full Name:  
Relationship:  
Company:  
Phone:  
Address:  
     
 
Previous Employment
 
Employer 1    
     
Company:  
Phone:  
Address:  
Supervisor:  
Job Title:  
Starting Salary/Hourly rate:    $
Ending Salary/Hourly rate: $
Responsibilities:  
From:  
To:  
Reason for Leaving:  
May we contact your previous supervisor for a reference?  
 Yes    No
Employer 2    
     
Company:  
Phone:  
Address:  
Supervisor:  
Job Title:  
Starting Salary/Hourly rate: $
Ending Salary/Hourly rate: $
Responsibilities:  
From:  
To:  
Reason for Leaving:  
May we contact your previous supervisor for a reference?  
 Yes    No
     
Certifications, Training, Ratings
 
Type:  
Where attained?  
When attained?  
     
Type:  
Where attained?  
When attained?  
     
Type:  
Where attained?  
When attained?  
     
Type:  
Where attained?  
When attained?  
     
Military Service
 
Branch:  
From:  
To:  
Rank at Discharge:  
Type of Discharge:  
If other than honorable, explain:  
     
Validation code:  
   
    Please enter the code in the field to the left.
This feature is case-sensitive.
     
Disclaimer
 
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.

 

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Honor Marine Electronics
1804B Cleveland Ave - National City, CA 91950
Phone: (619) 233-7666 Fax: (619) 231-0397
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