Application for Employment
Candidate's Name:
*
Date:
*
Address
Street Address
Country
Enter your country
State
City
Postal Code
Email: (copy) (copy)
Phone
*
Are you 18 years of age or older?
Yes
No
Are you either a U.S. citizen or an alien authorized to work in the U.S.?
Yes
No
Have you ever worked or attended school under another name? If so, under what name?
Position Desired
Position:
Start date available:
Wage rate desired:
Pay
Hourly
Monthly
Annually
Do you prefer:
Full-time
Part-time
If part-time, hours per week desired:
Hours you are available to work:
Days of week you are available to work:
Are you able to work:
Weekends
Holidays
Nights
Overtime
Have you previously worked for Pella Electronics Co., Inc. DBA Ruiter Innovations?
Yes
No
Dates of employment with Pella Electronics Co., Inc. DBA Ruiter Innovations:
Reason(s) for leaving:
Former supervisor(s) at this company:
How did you learn about this opening?
Education
High School:
Yes
No
Technical School:
Yes
No
College/University:
Yes
No
Post-Graduate Education:
Yes
No
Other education, training, or special skills:
Skills for office applications
Are you experienced in using personal computers? (copy)
Yes
No
Are you able to use Microsoft Word and Excel? What other programs are you capable of using?
Work Experience
Employer: (copy)
Length of employment:
From:
To:
Position Held: (copy)
Reason for leaving: (copy)
Supervisor's Name and Title:
May we contact them?
Yes
No
Description of Duties (copy)
Compensation:
Starting
Final
References
Name: (copy)
Phone Number: (copy)
Email: (copy)
Address: (copy)
Position or Title: (copy)
Years Known: (copy)
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