Hagemeister Park - Employment

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Employment

To submit an employment application to Hagemeister Park please fill out the form below.

* = Required Fields

Personal Information

First Name*
Last Name*
Address*
Apt or Unit #
City*
State*
ZIP*
Phone* XXX-XXX-XXXX
Email*

Position applying for*
Date available to start
Salary requirements
Type of employment desired*
Are you a citizen of the United States*
If no, do you have work papers?
Do you have a valid driver's license?:
How were you referred to Hagemeister Park?

If you are under 18 and we require a work permit, can you furnish one?

If no, please explain:

Special Skills or Qualifications

Please summarize your special skills or qualifications for this position in the space provided below.

Education

Please provide full and accurate details about your education.

High School
Name*
City*
State*
ZIP*
# years completed*
Did you graduate?*

College
Name
City
State
ZIP
# years completed
Did you graduate?

Other School
Name
City
State
ZIP
# years completed
Did you graduate?

Employment History

Please provide details about your previous employment, beginning with the most recent position.

Job 1
Dates of employment
from: to:
Company Name
City
State
ZIP
Position(s) held
Supervisor name
Starting salary and title
Ending salary and title
Responsibilities

Reason for leaving
May we contact this employer for reference?

Job 2
Dates of employment
from: to:
Company Name
City
State
ZIP
Position(s) held
Supervisor name
Starting salary and title
Ending salary and title
Responsibilities

Reason for leaving
May we contact this employer for reference?

Job 3
Dates of employment
from: to:
Company Name
City
State
ZIP
Position(s) held
Supervisor name
Starting salary and title
Ending salary and title
Responsibilities

Reason for leaving
May we contact this employer for reference?

References

Please furnish the names, addresses and telephone numbers of two people to whom you are not related and by whom you have not been employed:

Reference 1
Name
City
State
ZIP
Phone

Reference 2
Name
City
State
ZIP
Phone

I certify that my answers are true and complete to the best of my knowledge. I authorize Hagemeister Park to make such investigations and inquiries of my personal, employment, educational, financial, or medical history and other related matters as may be necessary for an employment decision.

I hereby release employers, schools or persons from all liability in responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.

Applicant initials