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Elite Home Services
1919 Montana Ave.
Billings, MT 59101
406.294.3294
406.248.3533 - fax
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Employment Application
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Instructions: Print clearly in
black or blue ink. Answer all questions. Sign and date the form.
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Date of Application: ____________________
Name: ____________________________________________________________________
Last
First
Middle
Address: __________________________________________________________________
City, State, Zip: ____________________________________________________________
Telephone: ____________________ Social Security
Number: _______________________
PERSONAL
1) Position applied for: ________________________________________________________
2) How did you hear about this position? _________________________________________
3) Have you worked for us before? ______________________________________________
4) On what date would you be available for work? _________________________________
5) Are you available for work ____Full-Time ____Part-Time
____Shift Work ____Temporary ____Saturdays ____Sundays ____Holidays ____Overtime
6) Can you drive if a job requires it? ____Yes ____No
(Not a condition of employment however pay is
$1/hr more.)
If yes, Do you have a valid Montana Driver
License? ____Yes ____No
7) Have you been convicted of a felony in the last seven
years? ____Yes ____No
If yes, please explain____________________________________________________
8) Please give three references. Exclude relatives
and former employers.
EMPLOYMENT EXPERIENCE (Start with present or last position)
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Employer Name:
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Address:
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Telephone:
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Contact Person:
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Job Title:
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Supervisor:
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Work Performed:
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Reason for Leaving:
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Dates Employed: From:
To:
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May We Contact This Employer?
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Employer Name:
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Address:
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Telephone:
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Contact Person:
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Job Title:
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Supervisor:
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Work Performed:
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Reason for Leaving:
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Dates Employed: From:
To:
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May We Contact This Employer?
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Employer Name:
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Address:
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Telephone:
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Contact Person:
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Job Title:
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Supervisor:
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Work Performed:
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Reason for Leaving:
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Dates Employed: From:
To:
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May We Contact This Employer?
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SPECIAL SKILLS AND QUALIFICATIONS
Summarize special skills and qualifications acquired from
employment or other experience.
(If you need additional space, please continue on a separate sheet of paper.)
EDUCATION
(Circle Highest)
Elementary High School College
University Graduate /
Professional School
(Years Completed) 4 5 6 7 8 9
10 11 12 1 2 3 4 1 2
3 4
Diploma or Degree
School: ___________________________________________________________________
Address: __________________________________________________________________
Course of Study:____________________________________________________________
Applicants are considered for all positions without regard
to race, color, religion, sex, national origin, age or marital status.
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.
Signed: __________________________________________ Date:
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