Employment Application - Skowhegan State Fair

PO Box 39 • 33 Constitution Avenue, Fairgrounds Marketplace • Skowhegan, Maine 04976. Phone: 207-474-2947 • Fax: 207-474-6257. Website: ...
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SKOWHEGAN STATE FAIR

Employment Application APPLICANT INFORMATION Last Name

First

M.I.

Street Address

Date

Apartment/Unit #

City

State

Phone

E-mail Address

Date Of Birth

ZIP

AGE:

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.?

Have you ever worked for this company?

YES

NO

If so, when?

Have you ever been convicted of a felony?

YES

NO

If yes, explain

YES

NO

EDUCATION High School From

Address To

Did you graduate?

College

YES

NO

Degree

NO

Degree

NO

Degree

Address

From

To

Did you graduate?

Other

YES Address

From

To

Did you graduate?

YES

REFERENCES Please list three professional/personal references. Full Name

Relationship

Company

Phone

(

)

Address Full Name

Relationship

Company

Phone

(

)

Address Full Name

Relationship

Company

Phone

(

)

Address

PO Box 39  33 Constitution Avenue, Fairgrounds Marketplace  Skowhegan, Maine 04976 Phone: 207-474-2947  Fax: 207-474-6257 Website: www.skowheganstatefair.com  Email: [email protected]

PREVIOUS EMPLOYMENT Company

Phone

Address

Supervisor

Job Title

Starting Salary

(

)

$

Ending Salary

$

Ending Salary

$

Ending Salary

$

Responsibilities From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

YES

NO

Company

Phone

Address

Supervisor

Job Title

Starting Salary

(

)

$

Responsibilities From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

YES

NO

Company

Phone

Address

Supervisor

Job Title

Starting Salary

$

(

)

Responsibilities From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

YES

NO

DISCLAIMER AND SIGNATURE 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. Signature

Date

PO Box 39  33 Constitution Avenue, Fairgrounds Marketplace  Skowhegan, Maine 04976 Phone: 207-474-2947  Fax: 207-474-6257 Website: www.skowheganstatefair.com  Email: [email protected]