Employment Opportunities

Military (Complete this section if you have served in the U.S. Armed Forces) Branch of Service
Period of Active Duty (month/year)
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Describe your duties and any special training
Education Highest grade you completed*
School Name
State
Course/Major Studied
Years Completed
Degree or Certificate
Degree Year
Special Skills
Do you have computer skills?
- Yes
- No
Type of Software
Current Certifications/Licenses
Are you fluent in a language other than English?
- Yes
- No
If so, what language
Verbal?
- Yes
- No
Written?
- Yes
- No
Employment Information

Please note that you do not have to fill out this section if you have attached your resume. List any other names(s) under which you have been employed. This information will assist us in doing reference checks. Provide details of your work history in the blocks that follow. Fill in these blocks carefully and completely. Provide a thorough description of your experience and employment history. Begin with your current or most recent job and work back. Account for all periods of unemployment.

Current or Most Recent Employer Employer
Position Title
Address
Phone
City
State
Starting Pay Rate
Ending Pay Rate
Describe your specific duties, responsibilities, and accomplishments in this job.
From (month/year)
MM slash DD slash YYYY
To (month/year)
MM slash DD slash YYYY
Reason for leaving
Supervisor
May we contact current employer
- Yes
- No
Previous Employer 1
Employer
Position Title
Address
Phone
City
State
Starting Pay Rate
Ending Pay Rate
Describe your specific duties, responsibilities, and accomplishments in this job.
From (month/year)
MM slash DD slash YYYY
To (month/year)
MM slash DD slash YYYY
Reason for leaving
Supervisor
May we contact current employer
- Yes
- No

Previous Employer 2
Employer
Position Title
Address
Phone
City
State
Starting Pay Rate
Ending Pay Rate
Describe your specific duties, responsibilities, and accomplishments in this job.
From (month/year)
MM slash DD slash YYYY
To (month/year)
MM slash DD slash YYYY
Reason for leaving
Supervisor
May we contact current employer
- Yes
- No
Previous Employer 3
Employer
Position Title
Address
Phone
City
State
Starting Pay Rate
Ending Pay Rate
Describe your specific duties, responsibilities, and accomplishments in this job.
From (month/year)
MM slash DD slash YYYY
To (month/year)
MM slash DD slash YYYY
Reason for leaving
Supervisor
May we contact current employer
- Yes
- No
Previous Employer 4
Employer
Position Title
Address
Phone
City
State
Starting Pay Rate
Ending Pay Rate
Describe your specific duties, responsibilities, and accomplishments in this job.
From (month/year)
MM slash DD slash YYYY
To (month/year)
MM slash DD slash YYYY
Reason for leaving
Supervisor
May we contact current employer
- Yes
- No

Previous Employer 5
Employer
Position Title
Address
Phone
City
State
Starting Pay Rate
Ending Pay Rate
Describe your specific duties, responsibilities, and accomplishments in this job.
From (month/year)
MM slash DD slash YYYY
To (month/year)
MM slash DD slash YYYY
Reason for leaving
Supervisor
May we contact current employer
- Yes
- No

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