Employment: Skowhegan, Waterville, ME

Date*

Last Name*

First Name*

Middle Name*

Maiden Name

Present Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How Long?*

Phone*

If under 18, please list age

Position Applied For & Salary Desired (Be Specific)*

Days/Hours Available to Work

No Preference

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

How many hours can you work weekly?

Can you work nights?

Employment Desired*

Full-Time Only
Part-Time Only
Full Or Part Time

When available for work?*

Education

High School

Name of School, Location (Complete Mailing Address), Number of Years Completed, Major and Degree

College

Name of School, Location (Complete Mailing Address), Number of Years Completed, Major and Degree

Bus. Or Trade School

Name of School, Location (Complete Mailing Address), Number of Years Completed, Major and Degree

Professional School

Name of School, Location (Complete Mailing Address), Number of Years Completed, Major and Degree

Have you ever been convicted of a crime?*

No
Yes

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

Do you have a driver's license?*

Yes
No

Type

Operator
Commercial (CDL)
Chauffeur

Have you had any accidents during the past three years? If so, how many?*

Have you had any moving violations in the past three years? If so, how many?*

References

Name*

Position*

Company*

Address*

Telephone*

Name*

Position*

Company*

Address*

Telephone*

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position in which you are applying.

Military

Have you ever been in the armed forces?*

Yes
No

Are you now a member of the National Guard?*

Yes
No

Specialty

Date Entered

Discharge Date

Work Experience

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

Name of Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Name of Last Supervisor

Employment Dates (From - To)

Pay or Salary (Start - Final)

Your Last Job Title

Reason for Leaving (Be Specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Name of Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Name of Last Supervisor

Employment Dates (From - To)

Pay or Salary (Start - Final)

Your Last Job Title

Reason for Leaving (Be Specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Name of Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Name of Last Supervisor

Employment Dates (From - To)

Pay or Salary (Start - Final)

Your Last Job Title

Reason for Leaving (Be Specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

Name of Employer

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Name of Last Supervisor

Employment Dates (From - To)

Pay or Salary (Start - Final)

Your Last Job Title

Reason for Leaving (Be Specific)

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.

May we contact your present employer?

Yes
No

Did you complete this application yourself?

Yes
No

If not, who did?

Follow Us x

Contact Info x

Application

Days/Hours Available to Work

Education

References

Military

Work Experience

Our Service Areas Include