Employment Application

FULL NAME

ADDRESS

Phone:

EMAIL

SALARY EXPECTATIONS

Are you a U.S. Citizen

Option 1 Yes

Option 2 No

If no, are you authorized to work in the U.S.

Have you ever worked for this company?

Option 1 Yes

Option 2 No

Have you ever been convicted of a Felony?

Option 1 Yes

Option 2 No

Did you graduate high school

Did you graduate college

Option 1 Yes

Option 2 No

Degree

Previous Employer

Name/Phone

Job Title

Reason for leaving

Starting Salary

Ending Salary

May we contact your supervisor as a reference

Option 1 Yes

Option 2 No

Military Service

Branch

From

To

Rank at Discharge

Type of discharge

If not honorable, explain

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.

Today's Date

Contact Us

Contact

304-623-2573

jobs@goldenergysolutions.com