Personal Information
First Name:
Address:
Last Name:
City:
Middle Initial:
State:
   
Zip:
-
Home Phone:
 
Work Phone:
Are you over 18 years of age? Yes No
Email Address:
   

Desired Employment Information
Have you ever been employed by Tuacahn?
 Yes No
If yes, Month and Year:
 /
If yes, which department:
Position Desired::
Pay Expected:
Are you available for full time work?
 Yes No
If not, what hours can you work?
Will you work overtime if asked?
 Yes No
Are you legally eligible for employment in the United States?
 Yes No
Special training or skills (Languages, machine operation etc.):
When will you be available for work?
 / /

Prior Education Information
Type of Education:
Number of Years Completed:
School's Name:
Did you Graduate:
Yes No
School's Location:
Degree or Diploma:
   
Emphasis:

Employment History Information
Company Name:
Job title and description of work:
Telephone:
Address:
Start Date:
 / /
Reason for leaving:
Supervisor's Name:
Starting Pay:
May we contact this employer:
 Yes No
Ending Pay:
If no, reason for not contacting:
 
Company Name:
Job title and description of work:
Telephone:
Address:
Start Date:
 / /
Reason for leaving:
Supervisor's Name:
Starting Pay:
May we contact this employer:
 Yes No
Ending Pay:
If no, reason for not contacting:
 
Company Name:
Job title and description of work:
Telephone:
Address:
Start Date:
 / /
Reason for leaving:
Supervisor's Name:
Starting Pay:
May we contact this employer:
 Yes No
Ending Pay:
If no, reason for not contacting:
 
Company Name:
Job title and description of work:
Telephone:
Address:
Start Date:
 / /
Reason for leaving:
Supervisor's Name:
Starting Pay:
May we contact this employer:
 Yes No
Ending Pay:
If no, reason for not contacting:

Please copy the characters from the left into the field below.

(Case Sensitive)
 

The information provided in this Application for Employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

If Tuacahn decides to engage an investigative consumer reporting agency to report on my credit and personal history I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.