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Employment Application

 Personal information

Last Name
First Name
Middle Initial

Address
City
State
Zip Code

Home Phone
Business Phone
Mobile Phone
E-mail Address
Are you legally authorized to work in the United States?
Are you 18 years or older?
Have you ever been convicted of a felony?

 Employment Interest

Position Desired
Salary Desired
Date Available (mm/dd/yyyy) 
Are you employed now?
If so, may we inquire of your present employer?
Have you ever applied to LaFayette Engineering before?

 Education and Training

School Name
City, State – Location of School

Major
Degree
Grade Point Avg (GPA)
Status:
Add Another School

 Employment History

Company Name
Start Date (mm/yyyy)
End Date (mm/yyyy)

Address
City
State
Zip Code

Salary
Position
Reason For Leaving
Add Another Employer

 References

Name
Business
Years Acquainted

Address
City
State
Zip Code

Home Phone
Business Phone
Mobile Phone
E-mail Address
Add Another Reference