Ashley Lighting

Personal Info

Personal History

Signature

Personal Info

First Name *

Middle Name

Last Name *

Street Address *

City *

State *

Zip Code *

Cell Phone *

Email *

Are you 18 years or older?

Yes
No

Are you eligible to work in the United States? *

Yes
No

Position

Personal History

High School

Name of High School

Address of School (Street, City, State, Zip Code)

Did you Graduate?

Yes
No

Under Graduate Collage

Name of School

Address of School

Degree/Diploma

Graduation Date

Graduate/Professional

Name of School

Address of School (Street, City, State, Zip Code)

Degree/Diploma

Graduation Date

Skills

Current or Last Employment

Present or Last Position

Employer

Address (Street, City, State, Zip Code)

Supervisor

Position Title

From

Responsibilities

Salary

Reason for leaving

May We Contact Your Present Employer?

Yes
No

Previous Employment

Previous Position

Employer

Address (Street, City, State, Zip Code)

Supervisor

Telephone

Position Title

From

Responsibilities

Salary

Reason for leaving

References

1. Name/Title

1. Address (Street, City, State, Zip Code)

1. Phone Number

2. Name/Title

2. Address (Street, City, State, Zip Code)

2. Phone Number

3. Name/Title

3. Address (Street, City, State, Zip Code)

3. Phone Number

Signature

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Name (I have read and understand the above statement.) *

First Name

Last Name

Personal Info

Personal History

High School

Under Graduate Collage

Graduate/Professional

Current or Last Employment

Previous Employment

References

Signature

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