Employment Application - Avon Cleaners

Applicant Information
Full Name
First Middle Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Date Available:
Date Format: MM slash DD slash YYYY
Social Security Number
Desired Salary
Position Applied For
Are you a citizen of the United States?
- Yes
- No
If no, are you authorized to work in the U.S.?
- Yes
- No
Have you every worked for Avon Cleaners?
- Yes
- No
If yes, when?
Have you every been convicted of a felony?
- Yes
- No
If yes, explain.

Education
High School
High School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
When did you start high school?
Date Format: MM slash DD slash YYYY
When did you leave high school?
Date Format: MM slash DD slash YYYY
Did you get a graduate?
- Yes
- No
Did you get a diploma?
Higher Education
College
Address of your college
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
When did you start college?
Date Format: MM slash DD slash YYYY
When did you leave college?
Date Format: MM slash DD slash YYYY
Did you graduate college?
- Yes
- No
If yes, what is your degree?
Continued Education
Other Education
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
When did you start?
Date Format: MM slash DD slash YYYY
When did you leave?
Date Format: MM slash DD slash YYYY
Did you graduate?
- Yes
- No
If yes, what degree?

References
Please list professional references.
Name
First Last
Relationship
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Additional Reference
Name
First Last
Relationship
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
References Cont.
Name
First Last
Relationship
Company
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone

Previous Employment
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor Name
First Last
Job Title
Starting Salary
Ending Salary
Job Responsibilities
Date Started
Date Format: MM slash DD slash YYYY
Date Ended
Date Format: MM slash DD slash YYYY
Reason for Leaving
May we contact your supervisor for reference?
- Yes
- No
Additional Employment
Company
Phone
Supervisor Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Starting Salary
Ending Salary
Job Responsibilities
Date Started
Date Format: MM slash DD slash YYYY
Date Ended
Date Format: MM slash DD slash YYYY
Reasons for Leaving
May we contact your supervisor for reference?
- Yes
- No
Employment Cont.
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor Name
First Last
Job Title
Starting Salary
Ending Salary
Job Responsibilities
Date Started
Date Format: MM slash DD slash YYYY
Date Ended
Date Format: MM slash DD slash YYYY
Reason for Leaving
May we contact your supervisor for references?
- Yes
- No

Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
Consent*
I agree to the honesty policy.
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.
Your Full Name*
Type your full name to submit your electronic signature.

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