MenuMenu

Application

Untitled Document
First Name:
Middle Name:
Last Name:
Home Phone Number:
Cell Phone Number:
Address:
City:
State:
Zip Code:
E-mail Address:
 

Personal Data

State Age (If Under 18 Years of Age):
Are You Legally Eligible for Employment in the US?
Classification of Position Applying For:
Shift Preference (Times May Vary by Property):
Day Preference:
 

Scott Enterprises History

Have You Ever Been Employed By Any Company of Scott Enterprises?
If Yes, Where / Position / When:
Do You Have Any Relatives Employed at Scott Enterprises or Any Related Companies?
If Yes, Please Give Names and Locations:
 

Job Interest

Please Specify Your Desired Location:
Preferred Position:
Date Available to Start:
Wage Desired:
How Did Your Hear About This Position?
Referring Employee Name:
 

Employment History

Company 1

Company Name:
Phone Number:
Address:
Employment Start Date:
Employment End Date:
Your Position & Job Duties:
Supervisor Name:
Starting Wage / Salary:
Final Wage / Salary:
Describe Your Reason For Leaving:
 

Company 2

Company Name:
Phone Number:
Address:
Employment Start Date:
Employment End Date:
Your Position & Job Duties:
Supervisor Name:
Starting Wage / Salary:
Final Wage / Salary:
Describe Your Reason For Leaving:
 

Company 3

Company Name:
Phone Number:
Address:
Employment Start Date:
Employment End Date:
Your Position & Job Duties:
Supervisor Name:
Starting Wage / Salary:
Final Wage / Salary:
Describe Your Reason For Leaving:
 

Company 4

Company Name:
Phone Number:
Address:
Employment Start Date:
Employment End Date:
Your Position & Job Duties:
Supervisor Name:
Starting Wage / Salary:
Final Wage / Salary:
Describe Your Reason For Leaving:
 

Education History

How Many Years of Each Type of Education Have You Completed (Leave Blank if N/A):
Primary:
College:
Graduate School:
Main Course of Study:
Degree(s) / Certification(s):
School(s):
Relevant Special Courses, Licenses, or Training:
 

References

Reference 1

Name:
Title:
Phone Number:
Relationship:
 

Reference 2

Name:
Title:
Phone Number:
Relationship:
 

Reference 3

Name:
Title:
Phone Number:
Relationship:
 

APPLICANT: Please Read The Statement Below Carefully Before Signing

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from liability for any damage that may result from furnishing same to you. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice and without cause."

Please Type Your Full Name: