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Why B&T?
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Employment Application
Step
1
of
5
20%
Application information:
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Mobile Phone
(Required)
Home Phone
Email
(Required)
Are you Currently Employed?
(Required)
Yes
No
Salary Desired?
Position applied for:
(Required)
How did you learn about our company?
Are you a citizen of the United States?
(Required)
Yes
No
Are you authorized to work in the U.S.?
(Required)
Yes
No
Have you ever worked for this company?
(Required)
Yes
No
If so, when?
Have you ever been convicted of a felony?
(Required)
Yes
No
If so, explain:
Education:
High School:
City of High School:
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Diploma Awarded:
College:
City of College:
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Degree Awarded:
Other (if any):
City of Other:
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Degree Awarded:
Previous employment:
Company #1:
Address:
Phone
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Company #2:
Address:
Phone
Supervisor:
Job title:
Starting Salary:
Ending Salary:
Responsibilities:
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Military Service:
Branch:
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Rank at discharge:
Type of discharge:
If other than honourable, explain:
Disclaimer
Disclaimer
(Required)
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
I agree to the above disclaimer.