Home Job Application Font Size Increase font size Decrease font size Job Application City of McIntyre-Job Application Form Edit Form Applicant Information Full Name: Date Address: Phone: Email Date Available: Last 4 SS#.: Desired Salary: Position Applied for: Are you authorized to work in the U.S.? YES NO Have you ever worked for this company? YES NO Have you ever been convicted of a felony? YES NO If yes, explain: Education High School: Address: Date From: Date To:: Did you graduate? YES NO Diploma: College: Address: Date From: Date To:: Did you graduate? YES NO Degree: Other: Address: Date From: Date To:: Did you graduate? YES NO Degree: References Full Name: Relationship: Company: Phone: Address: Full Name: Relationship: Company: Phone: Address: Full Name: Relationship: Company: Phone: Address: Employment History Company: Phone: Address: Supervisor: Job Title: Starting Salary: Ending Salary: Responsibilities: Start date: End: Reason for Leaving: Company: Phone: Address: Supervisor: Job Title: Starting Salary: Ending Salary: Responsibilities: Start date: End: Reason for Leaving: Company: Address: Phone: Supervisor: Job Title: Starting Salary: Ending Salary: Responsibilities: Start date: End: Reason for Leaving: Disclaimer and Signature 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. Signature: Date