APPLICATION FOR EMPLOYMENT Pre-employment questionaire Equal opportunity employer Name: * E-mail: * Telephone Number: Address: Applying for Position: When can you start? School Background: High School:Yrs attended/Graduated College:Yrs attended/Graduated Trade School:Yrs attended/Graduated General Information: Any subjects of special study, research work, or special training/skills .... Former Employers: From To Name and phone number of employer Salary Position Reason for leaving Reference: Give below the names of three persons not related to you, whom you have known at least one year Authorization: “I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for immediate dismissal.I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and I release the company from all liability for any damage that may result from utilization of such information.I agree that if employed, I may be required to take a drug and/or polygraph test.” Upload Resume