Todaro Bros.

Applicant Information

Last Name:

First Name:

M.I.:

Date:

Street Address:

Appartment/Unit #:

City:

State:

Zip:

Phone:

E-mail Address:

Date Available:

Social Sequrity No.:

Desired Salary:

Position Applied For:

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?

If so, when?

Have you ever been convicted of a felony?

If yes, explain:

Education

High School:

Address:

From:

To:

Did you graduate?

Degree:

Colledge:

Address:

From:

To:

Did you graduate?

Degree:

Other:

Address:

From:

To:

Did you graduate?

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 refrence?

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary $:

Ending Salary $:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for refrence?

Company:

Phone:

Address:

Supervisor:

Job Title:

Starting Salary $:

Ending Salary $:

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for refrence?

Military Service

Branch:

Form:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain: