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Application Data Sheet
Info: On most applications for jobs, this information will typically be asked for. Fill out this
document, save it to your computer, edit as needed, and print a copy (for handwritten
applications) so you have information for applications readily available. This will save you time,
energy and frustration. You can also copy and paste information from this document onto
applications.
Basic
Name:
Address:
Phone:
Social Security:
Date of Birth:
Work History (Use your resume to help you):
Site name
Address
Job title
Time spent here
Supervisor/superior
Description of duties
Salary:
Reason for leaving (Think of a good reason!)
Site name
Address
Job title
Time spent here
Supervisor/superior
Description of duties
Salary:
Reason for leaving (Think of a good reason!)
References (At least 2-3)
Name
Job title and company
Relationship
Years known
Phone, address, and email address

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Example of “Application Data Sheet”
Basic
Name: Johnathan Filley
Address: 556 Goodwill Lane Waterbury, CT 06705
Phone: (203) 555-5555
Social Security: 55-555-5655
Date of Birth: 03/21/1967
Work History (Use your resume to help you):
Store 30
45 Goodwill Lane Waterbury, CT 06705
Assistant Manager
May 2011 – 2015
Vonnie Tinker, Manager (203) 444-4454
Duties:
 Assisting the manager in their daily tasks
 Setting up appointments and meeting for them throughout the day
 Taking their signature of approval on all the orders that are issued
 Coordinating with all the departments that come under the guidance of the
manager
 Taking over the daily tasks if the manager is absent due to some reason
 Compiling of all the reports that have to be checked on a daily basis
Salary: 9.50 an hour
Reason for leaving (Think of a good reason!): looking for a more challenging position
References (At least 2-3)
Timothy Hillfinger
GreatStores Depot
Supervisor
3 years
737-111-5555, TimothyHillfinger@GreatStoresDepot.com, 1111 Frankfruter Street Bolton, CO