Application for Employment

Personal Information

Last Name:

First Name:

Middle Name:

Any other name used in previous employment (I.E. maiden, nickname):

Address:

City:

State:

Zip:

How Long?

Previous Address:

City:

State:

Zip:

How Long?

Telephone No.: Email Address:

Education

High School Name & Address:

No. Years:

Year Left:

Graduate:

Degree:

Course - Spec.

College Name & Address:

No. Years:

Year Left:

Graduate:

Degree:

Course - Spec.

Technical or Commercial Name & Address:

No. Years:

Year Left:

Graduate:

Degree:

Course - Spec.

Other Name & Address:

No. Years:

Year Left:

Graduate:

Degree:

Course - Spec.

Other Information

Type of Work Applied for: Date Available to Start Work:

Location Applied for: *Required

About what earnings/salary would seem reasonably satisfactory to you to start:
$

Per Week:
$

After 1 year:
$

Special Training or other Qualifications which fit you for this type of work:

Hobbies, Sports:

Have you or any relative ever been employed by Hudson's Treasure Hunt?

If YES, give name of person employed, store location and the date of employment:

Total Length of Military Service: Type of Discharge: Date:

Rank:

Branch:

Have you ever been convicted of a crime? *Required

If YES, when, where and disposition of offense:

Criminal history will considered, but might not be deemed disqualifying. Concealment or misrepresentation of criminal history will be deemed disqualifying.

To be filled out by clerical applicants only: Typing: WPM:

Shorthand:

WPM:

List any other machines you operate:

Employment History

Job Title:

Duties:

Employer:

Address Street:
City:	State:

Zip:

Type of Business:

Immediate Supervisor:

Number and titles of employees you supervised

Salary (start): $

Salary (finish): $

Equipment used:

Dates(mon/yr):

To(mon/yr):

Reason for leaving:

Status:

Hours/week:

Your name if different from present:

Job Title:

Duties:

Employer:

Address Street:
City:	State:

Zip:

Type of Business:

Immediate Supervisor:

Number and titles of employees you supervised

Salary (start): $

Salary (finish): $

Equipment used:

Dates(mon/yr):

To(mon/yr):

Reason for leaving:

Status:

Hours/week:

Your name if different from present:

Job Title:

Duties:

Employer:

Address Street:
City:	State:

Zip:

Type of Business:

Immediate Supervisor:

Number and titles of employees you supervised

Salary (start): $

Salary (finish): $

Equipment used:

Dates(mon/yr):

To(mon/yr):

Reason for leaving:

Status:

Hours/week:

Your name if different from present:

Job Title:

Duties:

Employer:

Address Street:
City:	State:

Zip:

Type of Business:

Immediate Supervisor:

Number and titles of employees you supervised

Salary (start): $

Salary (finish): $

Equipment used:

Dates(mon/yr):

To(mon/yr):

Reason for leaving:

Status:

Hours/week:

Your name if different from present:

Job Title:

Duties:

Employer:

Address Street:
City:	State:

Zip:

Type of Business:

Immediate Supervisor:

Number and titles of employees you supervised

Salary (start): $

Salary (finish): $

Equipment used:

Dates(mon/yr):

To(mon/yr):

Reason for leaving:

Status:

Hours/week:

Your name if different from present:

I have answered all of the questions on this application correctly and honestly. I allow you to investigate my statements. I consent that discovery of any falsification, or concealment of material information, shall end my consideration of my application, or result in my dismissal, if employed. I understand that you will assume, after the passage of thirty days, that I have found other work, or am no longer interested, unless I contact you and renew my application in writing.