Employment Application Form

Note: items marked with an asterisk * are required)


*Position Desired :

PERSONAL INFORMATION

*Last Name :

*Middle Name :

*First Name :

*Street Address :

*City, State, Zip Code :

*Phone Number :

*E-mail address :

*Are you eligible to work in the United States?
Yes   No

If you are under age 18, do you have an employment/age certificate?
Yes   No

*Have you been convicted of or pleaded no contest to a felony within the last five years?
Yes   No

*If yes, please explain:
(Else, enter "N/A")

AVAILABILITY

*Position Applied For :

*Days / Hours available :
SUN : From
To

MON : From
To

TUE : From
To

WED : From
To

THU : From
To

FRI : From
To

SAT : From
To

*What date are you available to start ?

EDUCATION

*Name and Address Of School :

*Degree / Diploma :

*Graduation Date :

*Skills and Qualifications: Licenses, Skills, Training, Awards :

EMPLOYMENT HISTORY

Present Or Last Position:
*Employer :

*Address :

*Supervisor :

*Phone :

*Email :

*Position Title :

*From :
to :


*Responsibilities :

*Salary :

*Reason for Leaving :

*May We Contact Your Present Employer?
Yes   No

*References :

*Name / Title / Address / Phone:
Capstone Computer Services Corporation provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, and marital status.


Serving the BALTIMORE and DC METRO regions! - Office: 443.542.9540, Cell: 410.227.5941, email: yourpcmacrepair@gmail.com
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