Crazy History

Essay text:

? y Yes y No Have you ever worked for this company? y Yes y No If yes, when?______________ Have you ever been convicted of a felony? ? Yes ? No If yes explain____________________________________ What State ? ____________ Are you at least 18 years of age? ? Yes ? No Are you related to anyone employed with Poe’s Maintenance? ? Yes ? No If so, list name(s)________________________________________________________ How did you hear about this position?_______________________________________ Shift Desired ? Days ? Evenings ? Overnights ? Full-time ? Part-time What Languages do you speak?____________________________________________ Education Elementary:____________________________ Location:_______________________ From:___________________ To_________________ Did You Graduate? ? Yes ? No High School:____________________________ Location:______________________ From:___________ To___________ Did You Graduate? ? Yes ? No Degree___________ College:___________________________________ Location:__________________ From: ____________To___________ Did You Graduate? ? Yes ? No Degree__________ Other:______________________________ Location:__________________________ From:_________ To___________ Did You Graduate? ? Yes ? No Degree_________________________________________________ Previous Employment May we contact your current employer? ? Yes ? No Company:_______________________________________ Phone:________________ Address:________________________________ Supervisor:___________________ Job Title:_______________ Starting Salary:___________ Ending Salary:__________ Responsibilities:_________________________________________________________ From:____________ To___________ Reason For Leaving:_____________________ Company:_______________________________________ Phone:________________ Address:________________________________ Supervisor:___________________ Job Title:_______________ Starting Salary:___________ Ending Salary:__________ Responsibilities:_________________________________________________________ From:____________ To___________ Reason For Leaving:_____________________ Company:_______________________________________ Phone:________________ Address:________________________________ Supervisor:___________________ Job Title:_______________ Starting Salary:___________ Ending Salary:__________ Responsibilities:_________________________________________________________ From:____________ To___________ Reason For Leaving:_____________________ Disclaimer and Signature As an applicant for employment with Poe’s Maintenance Solutions, I understand the following: This application will remain on active file for 60 days...