APPLICATION FOR EMPLOYMENT

We are an equal opportunity employer, dedicated to a policy of nondiscrimination in employment

on any basis including race, color, age, sex, religion, disability, or national origin.
APPLICANT INFORMATION
Last Name

Schofield

Street Address

First

M.I.

469 Highland Dr.

City

Madison

Phone
(s)

256-374-3052

Date Available

Dat
e
Apartment/Unit
#

Elise

State
E-mail
Address
Last four
digits of SSN

05/25/16

Position Applied

for
Are you a citizen of the United
States?
Have you ever worked for this
company?

YES

NO

YES

NO

Are you employed now?

YES

NO

Type of Employment

Full-time

Alabama

ZIP

09/20/01
N/A

35758

eschofield2001@gmail.com
XXX XX

Desired Salary

If no, are you authorized to work in the

U.S.?
If so,

when?
If so, may we contact your employer?
Part-time

Summer

$7.25/hr

YES

NO

YES

NO

Temporary

EDUCATION AND OFFICE SKILLS

High
School

Bob Jones High School

From

201
5

College
or Trade
School

N/A

From

Years of Typing
Experience

To

To

Did you
graduate?

Pres

Did you
graduate?

Computer Software and

Hardware Experience

Words Per
Minute

Address

650 Hughes Rd.

YES

NO

Address

YES

NO

Other Office
Equipment
Used

Expected May 2019

Degree
Printer

Copier

N/A

Phone

Address

Name and
Position of
Supervisor

Job Title

Starting
Salary

From

To

Reason for Leaving

May we contact your previous supervisor for a

reference?

WFSCT (09-20-2010)

Scanner

Calculator

(LIST PRESENT OR MOST RECENT POSITIONS

Compan
y

Fax

Microsoft Office, Google Office,

EMPLOYMENT HISTORY
FIRST)

Responsibilities

Ending
Salary

YES

NO

EMPLOYMENT HISTORY

(CONTINUED)

Compan
y

Phone

Address

Name and
Position of
Supervisor

Job Title

Starting
Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a

reference?
Compan

y
Address

Job Title

From

To

YES

Reason for Leaving

May we contact your previous supervisor for a

reference?
Compan

y
Address

Job Title

From

To

YES

Reason for Leaving

May we contact your previous supervisor for a

reference?

Phone

Ending
Salary

Ending
Salary

Starting
Salary

NO

NO

Phone

Name and
Position of
Supervisor

Responsibilities

Ending
Salary

Starting
Salary

Name and
Position of
Supervisor

Responsibilities

YES

NO

MILITARY SERVICE
Branch

N/A

Rank at Discharge

From

If other than honorable,

explain

Type of Discharge

To

DISCLAIMER AND SIGNATURE

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.
Signatur
e

WFSCT (09-20-2010)

Date