Linder Enterprises
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​APPLICATION FOR EMPLOYMENT
PERSONAL INFORMATION                                                                           Date of Application:___________________
                                                                                                                                Social Security Number:________________
Name:________________________________________________________________________________________
                                Last                                                        First                                                        Middle
Address:______________________________________________________________________________________
                                Street                                      (Apt.)                                      City/State                                              Zip
Alternate Address:______________________________________________________________________________
                                                Street                      (Apt.)                                      City/State                                              Zip
Contact Information:         (      )                                       (      )                                                                                      
                                                Home                                     Mobile                                                                   Email
How did you learn about our company?_____________________________________________________________
 

 
POSITION SOUGHT:________________________                                 Available Start Date:___________________
Desired Pay:________________________________                               Are you currently Employed?___________________
                                (Hourly or Salary)

Are you a citizen of the United States? ______Yes  ______No
If NO, are you authorized to work in the United States? ______Yes  ______No
Are you 18 years of age or older? ______Yes  ______No                         If NO, what is your current age?__________
If required for position, do you have a valid driver’s license? ______Yes ______No
Have you ever been convicted of a felony? ______Yes ______No
If YES, explain:________________________________________________________________________________
 

EDUCATION:
High School:_____________________________________  Address:_____________________________________
From:__________ To:___________ Did you graduate: ______Yes ______No   Degree:_______________________
…………………………………………………………………………………………………………………………...
College:_________________________________________  Address:_____________________________________
From:__________ To:___________ Did you graduate: ______Yes ______No   Degree:_______________________
…………………………………………………………………………………………………………………………...
Other:___________________________________________  Address:_____________________________________
From:__________ To:___________ Did you graduate: ______Yes ______No   Degree:_______________________
 

 
PREVIOUS EMPLOYMENT:
Please list three previous employers beginning with the most recent.
Company Name:_________________________ Position:_______________________ Currently Employed?______
Address:______________________________________________________________________________________
Dates worked: From:___________ To:___________                               Starting Pay:__________ Ending Pay:____________
Supervisor:_________________________________               Phone Number:    (      )                                              _
Job Responsibilities:____________________________________________________________________________
                ______________________________________________________________________________________
                ______________________________________________________________________________________
Reason for Leaving: ____________________________________________________________________________
                ______________________________________________________________________________________
…………………………………………………………………………………………………………………………...
Company Name:_________________________ Position:_______________________ Currently Employed?______
Address:______________________________________________________________________________________
Dates worked: From:___________ To:___________                               Starting Pay:__________ Ending Pay:____________
Supervisor:_________________________________               Phone Number:    (      )                                              _
Job Responsibilities:____________________________________________________________________________
                ______________________________________________________________________________________
                ______________________________________________________________________________________
Reason for Leaving: ____________________________________________________________________________
                ______________________________________________________________________________________
…………………………………………………………………………………………………………………………...
Company Name:_________________________ Position:_______________________ Currently Employed?______
Address:______________________________________________________________________________________
Dates worked: From:___________ To:___________                               Starting Pay:__________ Ending Pay:____________
Supervisor:_________________________________               Phone Number:    (      )                                              _
Job Responsibilities:____________________________________________________________________________
                ______________________________________________________________________________________
                ______________________________________________________________________________________
Reason for Leaving: ____________________________________________________________________________
                ______________________________________________________________________________________
 

REFERENCES:
Please list three professional references.
Full Name:_____________________________________      Relationship:________________________________
Company:______________________________________    Phone:  (      )                                                              _
Address:______________________________________________________________________________________
…………………………………………………………………………………………………………………………...
Full Name:_____________________________________      Relationship:________________________________
Company:______________________________________    Phone:  (      )                                                              _
Address:______________________________________________________________________________________
…………………………………………………………………………………………………………………………...
Full Name:_____________________________________      Relationship:________________________________
Company:______________________________________    Phone:  (      )                                                              _
Address:______________________________________________________________________________________
 

EMERGENCY CONTACT:
Full Name:_____________________________________      Relationship:________________________________
Phone:  (      )                                             Address:_______________________________________________________
 

 
I authorize that this information is accurate and filled out to the best of my ability.
 
Signature:________________________________________________                              Date:________________________
 
 

Contact Us

Telephone:  507-388-7777

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