Employment Application

Coyote Tanks Inc.
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Applicant Information

Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
Have you ever been convicted of a felony?

Education

High School

Did you graduate?

College

Did you graduate?

Other

Did you graduate?

References

Please list three professional references.

Reference 1

Reference 2

Reference 3

Previous Employment

Employer 1

May we contact your previous supervisor for a reference?

Employer 2

May we contact your previous supervisor for a reference?

Employer 3

May we contact your previous supervisor for a reference?

Available Work Schedule

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.

I agree — typing my full name below is my electronic signature.
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Employment Application

Coyote Tanks Inc.
APPLICANT INFORMATION
Last Name
First
M.I.
Date
Street Address
Apartment/Unit#
City
State
ZIP
Phone
E-mail Address
Date Available
Desired Salary
Position Applied for
Are you a citizen of the United States?   YES ☐   NO ☐
If no, are you authorized to work in the U.S.?   YES ☐   NO ☐
Have you ever worked for this company?   YES ☐   NO ☐
If so, when?
Have you ever been convicted of a felony?   YES ☐   NO ☐
If yes, explain
EDUCATION
High School
Address
From   To
Did you graduate?  YES ☐  NO ☐
Degree
College
Address
From   To
Did you graduate?  YES ☐  NO ☐
Degree
Other
Address
From   To
Did you graduate?  YES ☐  NO ☐
Degree
REFERENCES
Please list three professional references.
Full Name
Relationship
Company
Phone ( )
Address
Full Name
Relationship
Company
Phone ( )
Address
Full Name
Relationship
Company
Phone ( )
Address
PREVIOUS EMPLOYMENT
Company
Phone ( )
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From   To
Reason for Leaving
May we contact your previous supervisor for a reference?   YES ☐   NO ☐
Company
Phone ( )
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From   To
Reason for Leaving
May we contact your previous supervisor for a reference?   YES ☐   NO ☐
Company
Phone ( )
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From   To
Reason for Leaving
May we contact your previous supervisor for a reference?   YES ☐   NO ☐
AVAILABLE WORK SCHEDULE
School Schedule
From   To
Available to work:
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.
Electronic Signature (typed by applicant)
Date
Signature (in person)
 Date