Print out this sample part-time job application form. and complete it, so you know what information you'll need with you when you apply for a job.
Company Name
Part-Time Employment Application
Applicant Information
Applicant Name ___________________Home Phone _____________________
Cell Phone _______________________
Email Address ____________________
Current Address:
Number and street _______________________
City _________________________________
State & Zip _____________________________
How were you referred to Company?:________________________
Positions
Position(s) applying for:________________________________
Are you applying for:
- Temporary part-time work – such as summer or holiday work? [ ] Y or [ ] N
- Regular part-time work? [ ] Y or [ ] N
If applying for temporary work, when will you be available? ___________________________________________
If hired, on what date can you start working? ___ / ___ / ___
Can you work on the weekends? [ ] Y or [ ] N
Can you work evenings? [ ] Y or [ ] N
Personal Information:
Have you ever applied to / worked for Company before? [ ] Y or [ ] NIf yes, please explain (include date): ________________________
If hired, would you have transportation to/from work? [ ] Y or [ ] N
Are you over the age of 18? If under 18, do you have working papers? [ ] Y or [ ] N
If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States? [ ] Y or [ ] N
If hired, are you willing to submit to and pass a controlled substance test? [ ] Y or [ ] N
Have you ever been convicted of a criminal offense (felony or misdemeanor)? [ ] Y or [ ] N
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case.____________________________________________
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense.
Education, Training and Experience
High School:School name: ________________________
School address:________________________
School city, state, zip:________________________________
Number of years completed: _______________
Did you graduate? [ ] Y or [ ] N
Degree / diploma earned: _______________
College / University:
School name: __________________________
School address:________________________
School city, state, zip:________________________________
Number of years completed: ________
Did you graduate? [ ] Y or [ ] N
Degree / diploma earned: __________________
Vocational School:
Name: ________________________
Address:______________________
City, state, zip:________________________________
Number of years completed: ________
Did you graduate? [ ] Y or [ ] N
Degree / diploma? : __________________
