Pak Mail Employment Application

Full Name: _____________________________________________________________

Address: _______________________________________________________________

_______________________________________________________________________

Telephone Number: _______________________________________________________

Social Security Number: ___________________________________________________

Are you legally authorized to work in the United States? [ ] Yes [ ] No

Are you 18 years old or older? [ ] Yes [ ] No

If not, please give your date of birth: _________________________________________

What position are you applying for? __________________________________________

If you are hired, when can you start work? ____________________________________

EDUCATION

High School

Name of School: ______________________________________________________

Location: ____________________________________________________________

Number of years attended: ______________________________________________

Did you graduate? [ ] Yes [ ] No    Date of graduation: _______________________

Trade School

Name of School: ______________________________________________________

Location: ____________________________________________________________

Number of years attended: ______________________________________________

Did you graduate? [ ] Yes [ ] No    Date of graduation: _______________________

College

Name of School: ______________________________________________________

Location: ____________________________________________________________

Number of years attended: ______________________________________________

Did you graduate? [ ] Yes [ ] No    Date of graduation: _______________________

What degree did you earn? ______________________________________________

EMPLOYMENT HISTORY

Beginning with your most recent employment and working back in time, please give the following information:

Employer 1

Employer: ___________________________________________________________

Address: ____________________________________________________________

Telephone Number: ____________________________________________________

Job Title: ____________________________________________________________

Duties: ______________________________________________________________

Dates of Employment: _________________________________________________

Supervisor: __________________________________________________________

Reason for Leaving: ___________________________________________________

Employer 2

Employer: ___________________________________________________________

Address: ____________________________________________________________

Telephone Number: ____________________________________________________

Job Title: ____________________________________________________________

Duties: ______________________________________________________________

Dates of Employment: _________________________________________________

Supervisor: __________________________________________________________

Reason for Leaving: ___________________________________________________

Employer 3

Employer: ___________________________________________________________

Address: ____________________________________________________________

Telephone Number: ____________________________________________________

Job Title: ____________________________________________________________

Duties: ______________________________________________________________

Dates of Employment: _________________________________________________

Supervisor: __________________________________________________________

Reason for Leaving: ___________________________________________________

PERSONAL REFERENCES

Please provide the names of two references who have not employed you and are not related to you.

Reference 1

Name: ______________________________________________________________

Address: ____________________________________________________________

Telephone Number: ____________________________________________________

Relationship: _________________________________________________________

Reference 2

Name: ______________________________________________________________

Address: ____________________________________________________________

Telephone Number: ____________________________________________________

Relationship: _________________________________________________________

ADDITIONAL QUALIFICATIONS

Please tell us about any other training, education, skills or achievements that you feel should be considered.

____________________________________________________________________

____________________________________________________________________

Please Read and Sign (applications will not be accepted without a signature):

This is a preliminary application for employment.  Filling out this form does not constitute employment nor does it guarantee employment at Pak Mail.  All applications will be reviewed and candidates will be contacted at a later point on regards to any future interviews or follow-up documentation.  All positions listed may not be open, subject to funding, hiring contingencies, and other Pak Mail proclamations.  All jobs listed are “at will” non-regular positions.  Each position is hourly and does not provide any benefits packages, leave packages, or other non-pay benefits entitled to regular Pak Mail employees.  Employment in such positions cannot be used in regards to future employment time calculations in the Pak Mail system. 

I certify that I have given true, accurate and complete information on this form to the best of my knowledge. I authorize investigation of all statements made in this application and understand that false information or documentation, or a failure to disclose relevant information may be grounds for rejection of my application or dismissal if I am employed.

Date: __________________________________________________________________

Applicant's Signature: _____________________________________________________