Application for employment

1. APPLICATION FOR EMPLOYMENT
PERSONAL INFORMATION DATE: ___________________________
NAME (LAST NAME, FIRST NAME, MIDDLE NAME) SOCIAL SECURITY NO. (LAST FOUR DIGITS)
XXX-XX-__________
PRESENT ADDRESS CITY STATE ZIP CODE
PERMANENT ADDRESS CITY STATE ZIP CODE
PHONE NO. REFERRED BY
EMPLOYMENT DESIRED
POSITION DATE YOU CAN START SALARY DESIRED
ARE YOU EMPLOYED? ___Yes ___No IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?
____Yes ____No
EVER APPLIED TO THIS COMPANY
BEFORE? ____Yes ____No
WHERE? WHEN?
EDUCATION HISTORY
NAME AND LOCATION OF SCHOOL YEARS
ATTENDED
DID YOU
GRADUATE?
SUBJECT STUDIED
HIGH
SCHOOL
COLLEGE
TRADE OR
BUSINESS
GENERAL INFORMATION
SUBJECTS OF SPECIAL STUDY/RESEARCH
WORK OR SPECIAL TRAINING/SKILLS
US MILITARY OR NAVAL SERVICE RANK
Jun 16, 2016
Llanos Couvertier, Jose M. 1762
Urb. Eduerdo J. saldana Carolina Puerto Rico 00983
787-909-3362 Jose Llanos
MARKETING MANAGER
x
Jun 16, 2016 20 p/h
x
x
Dr. Jose M. Lazaro 3 yes high school diploma
Universidad de Puerto Rico 3 in progress
Business
Administration
bilingual, studied administration in institute of Puerto Rico Internship in Gran Melia Hotel

2. FORMER EMPLOYERS (LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST)
DATE
MONTH AND
YEAR
NAME AND ADDRESS OF
EMPLOYER
SALARY POSITION REASON FOR
LEAVING
FROM
TO
FROM
TO
FROM
TO
FROM
TO
REFERENCES GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN FOR
AT LEAST ONE YEAR.
NAME ADDRESS BUSINESS YEARS
KNOWN
AUTHORIZATION
“I certify that the facts contained in this application are true and complete to the best of my knowledge and
understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above
to give you any and all information concerning my previous employment and any pertinent information
that may have, personal or otherwise, and release the company from all liability for any damage that may
result from utilization of such information.”
DATE ______________________________ SIGNATURE __________________________________________
Jonathan Belmudez San Juan, convention center
Profesor
Supervisor 3
Dr. Bonilla
Universidad de Puero Rico 3
2013
2015
convention center
cleaning the chicken 9.00 team leader studies
Jun 16, 2016 Jose M. Llanos