Application for Employment

Date:
Social Security No.:
Name:
Address:
If less than 2 years former address:
Phone No.:
Are You Over 18?
Position(s) Applied For:
Salary Desired:
Date Available for Work:
Are you willing to work: First Shift Second Shift Third Shift
Have you ever been employed by this company under your present or different name?
Are you employed now: If yes: Full Time Part Time
May we contact your current employer?
What method of transportation will you use to get to work?
Give Name, Address and Telephone Number of 3 references not related to you:
1.
2.
3.
List name, department and location of each relative (excluding spouse) employed by Taylor Made ProductsTM.



Education and Training

High School

School Name, Addr.:
Degrees/Graduated (yes/no/GED):
Major Field of Study:
Last Full Year Completed:

College

School Name, Addr.:
Degrees/Graduated (yes/no/GED):
Major Field of Study:
Last Full Year Completed:

Graduate School

School Name, Addr.:
Degrees/Graduated (yes/no/GED):
Major Field of Study:
Last Full Year Completed:

Trade or Bus. School

School Name, Addr.:
Degrees/Graduated (yes/no/GED):
Major Field of Study:
Last Full Year Completed:
List any other skills, training or qualifications which would be applicable to the position for which you are applying:

Employment Experience

List the last three positions you have held, beginning with your present or most recent job:
Employer's Name
Position
Address
Telephone No.
Supervisor's Name
Employed from to
Current or Ending Rate of Pay
May we contact this employer for a reference?
Details of job duties:
Reason for leaving:
Employer's Name
Position
Address
Telephone No.
Supervisor's Name
Employed from to
Current or Ending Rate of Pay
May we contact this employer for a reference?
Details of job duties:
Reason for leaving:
Employer's Name
Position
Address
Telephone No.
Supervisor's Name
Employed from to
Current or Ending Rate of Pay
May we contact this employer for a reference?
Details of job duties:
Reason for leaving:
Please describe any other work experience which may be helpful in job placement:
The following statements are part of this application. Please read carefully and choose "I Agree" below:
I hereby authorize Taylor Made ProductsTM, to whom this application is submitted, to contact schools, employment and all other sources for the purpose of investigating and verifying statements and references herein; and I hereby authorize said sources to disclose such records and other information as may be requested. I hereby certify that the above statements are true and correct to the best of my knowledge and understand that misrepresentation or omission of facts may disqualify me or be cause for my termination.
I agree with the above statements:
Full Name:
Date: