Cannon Industries: Employment Application

Basic Information

How did you hear about this opening?

Name First Middle Last
Maiden

Present Address Street
City State Zip

How long at this address

Telephone Email

If under 18, please list age Do you have a work permit? Yes No

For what position are you applying? What is your desired salary range?

Availablity In what type of employment are you interested?
FT PT Contract Temporary

What days of the week are you available for work?
M–F M–Sat. Other

What hours are you available to work? When are you available to start work?

Education

High School Name Location
Years Completed Diploma GED

College Name Location
Years Completed Major & Degree

Name Location
Years Completed Major & Degree

Business or Trade School Name Location
Years Completed Major & Degree

Name Location
Years Completed Major & Degree

Have you ever been convicted of a crime? Yes No
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.

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Have you ever been in the armed forces? Yes No

Are you now a member of the national guard? Yes No

Date Entered Discharge Date
Specialty

References

Please list two references other than relatives.

Name
Position
Company
Telephone
Address

Name
Position
Company
Telephone
Address

Skills

List your software skills

Personal Computer Yes No PC Mac
Other Skills

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

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Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give a firm name.

Employer Name
Phone
Address

Start Date End Date
Starting Pay Rate Ending Pay Rate
Name of Last Supervisor
Reason for leaving
Job Title
Duties Performed

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Please upload your resume (.doc, .docx, .rtf, .pdf)
File must be under 300Kb.

Submit Application

You must submit the application electronically as well as download, sign and fax a copy of the Application Form Waiver

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