HTML Preview Engineering Job Application Form page number 1.
R.O. Anderson Engineering, Inc.
Employment Application Form
PLEASE PRINT ALL
INFORMATION
REQUESTED EXCEPT
SIGNATURE
Please mail completed application to:
R.O. Anderson Engineering, Inc.
1603 Esmeralda Avenue Minden, Nevada 89423
or fax application to:
775-782-7084
OFFICE USE ONLY:
Date received:
Reviewed by:
PLEASE COMPLETE PAGES 1-5.
DATE _________________________________
Name _______________________________________________________________________________________________
Last Fi rst M iddle M aiden
Present address _______________________________________________________________________________________
N umber Str eet City State Zip
How long at current address? _________________________ Social Security No. _______ – _____ – _________
Telephone ( )
If you are under 18 years old, can you furnish a work permit if required? ____YES ____N0
Are you currently authorized to work in the United States? ____YES _____NO. Proof of eligibility will be required if hired.
Position applied for (1) ________________________
and wage desired (2) ________________________
(Be specific)
Days/hours available to work
No Pref._______ Thurs ________
Mon _________ Fri __________
Tue __________ Sat __________
Wed _________ Sun _________
How many hours can you work weekly? ________________________
Employment desired FULL-TIME ONLY PART-TIME ONLY FULL- OR PART-TIME
When are you available to start work?____________________________
_____________________________________________________________________________________________________
TYPE OF SCHOOL NAME OF SCHOOL LOCATION
(Complete mailing
address)
NUMBER OF YEARS
COMPLETED
MAJOR &
DEGREE
High School
College
Bus. or Trade School
Professional School
Have you ever been convicted of a crime? (Other than minor traffic violations) No Yes (a Conviction record will
not necessarily disqualify you from employment).
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were
committed, sentence(s) imposed and type(s) of rehabilitation. ___________________________________________________
_____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________