The Bee’s Knees
Employment Application
We are pleased that you are interested in employment with us. We offer equal
opportunities to all persons without regard to race, color, religion, age, sex, marital status, national origin, disability, sexual orientation, or veteran status.
Please complete this application form in type or print. Answer all questions honestly and completely since all statements made by you may be checked for accuracy. Your application will be given every consideration. However, acceptance of the application does not imply a commitment of employment. This application of employment will remain active for ninety days. After ninety days, applicants must submit another application to be considered for employment.
Date______Email address______
Full Name ______Birthdate______
SocialSecurityNumber______Phone______
Present Address ______
______
Are you over the age of 18? ___yes ___no
If no, employment is subject to verification of minimum legal age by age certificate or work permit.
Do you have the legal right to live and work in the US? ___yes ___no
Do you have steady transportation to work? ___yes ___no
Have you ever been convicted of a crime? ___yes ___no (Answering yes does not constitute an automatic rejection for employment.)
If yes, state dates and details:
______
______
Have you ever held a position of trust (handling money, securities, or confidential
material? ___yes ___no
Have you ever been bonded? ___yes ___no
Is there anything that would prevent you from satisfactorily performing the essential functions of the job for which you have applied? ___yes ___no.
If so, please explain: ______
______
Position sought: ______
Do you wish: full-time work_____ part-time work_____ temporary work______
Date available for employment: ______
What hours are you available? ______Days______Evenings______Weekends
How were you referred to us? ______
Are you presently employed? ___yes ___no
If now employed, may we contact your present employer? ___yes ___no
Why do you desire to make a change in employment at this time?
______
Have you ever been discharged or asked to resign from a position? ___yes ___no
EDUCATION
Name of High School Attended______
Years Completed___1___ 2___3___ 4
Name of Vocational or Business School Attended______
Years Completed ___1___ 2___ 3___ 4
Name of College Attended______
Years Completed ___1___ 2___ 3___ 4
Other ______
Years Attended ___1___ 2___ 3___ 4
Describe any other specialized training: ______
______
______
List equipment/machines you can operate:
___Word Processor
___Calculator
___Switchboard
___Personal Computer
___Cash Register
___Kiln
___Other ______
Other skills of assistance in determining qualifications for employment: ______
______
EMPLOYMENT RECORD (Start with present or last employer and work back.)
Employer's name and address______
From______to ______Job title______
Salary: Start______End______Reason for leaving ______
Name of supervisor ______
Duties in brief______
______
Employer's name and address______
From______to ______Job title______
Salary: Start______End______Reason for leaving______
Name of supervisor ______
Duties in brief ______
______
Employer's name and address______
From______to ______Job title______
Salary: Start______End______Reason for leaving______
Name of supervisor______
Duties in brief ______
______
REFERENCES (List three references - not including former employers or relatives):
Name______Years known______
Address______Phone______
Name______Years known______
Address______Phone______
Name______Years known______
Address______Phone______
I authorize The Bee’s Knees to check my statements, schools, former employees,
and references. I certify all the information on this application to be true and agree that
misrepresentation or concealment of a material fact will be sufficient charge for dismissal.
If I am hired, I agree to abide by the policies and regulations of the institution.
Further, I understand that my employment is not for a stated period of time. It may be
terminated by me or The Bee’s Knees and is not a contractual obligation of the
institution.
Signature of Applicant______
employmentapp2008