Wildwood Highlands. - Employment Application



NAME ____________________________________________________________  TEL# ________________________

ADDRESS _______________________________________________________________________________________

CITY ___________________________________________________STATE ________  ZIP CODE __________________

S. S. # ______________________________ HOW WILL YOU GET TO WORK? _________________________________
(MUST HAVE SOCIAL SECURITY NUMBER BEFORE STARTING TO WORK)

IN CASE OF EMERGENCY, CONTACT?  _________________________________________ TEL# ______________________________     
                                                                                                          (NAME)


ARE YOU STILL IN SCHOOL? ____________ GRADE  ______ SCHOOL'S NAME________________________________________

WHAT TOWNSHIP DO YOU LIVE IN? __________________________AGE - 15 * ______ 16 - 17 * ______ 18 OR OVER  ______

                                                                                                * MUST HAVE PROOF OF AGE AND WORKING PAPERS (IF HIRED)

PREVIOUS EMPLOYMENT


COMPANY #1 _______________________________  ADDRESS ___________________________________________________________

EMPLOYED FROM __________  TO ___________  RATE OF PAY _______________________________________________________

POSITION HELD ____________________________  REASON FOR LEAVING _____________________________________________

COMPANY #2 _______________________________  ADDRESS ___________________________________________________________

EMPLOYED FROM __________  TO  ___________  RATE OF PAY _______________________________________________________

POSITION HELD ____________________________  REASON FOR LEAVING _____________________________________________

WHAT INTERESTED YOU IN APPLYING FOR THIS POSITION? ______________________________________________________

__________________________________________________________________________________________________________________

                                                              MON            TUE              WED              THU                FRI                  SAT              SUN

        DAYS AND            FROM      ________        ________      ________        ________        ________        ________        ________
HOURS AVAILABLE
        TO WORK                  TO      ________        ________      ________        ________        ________        ________        ________

APPROXIMATE NUMBER OF DAYS YOU WOULD LIKE TO WORK PER WEEK? _____________________________________

IF YOU ARE A COLLEGE STUDENT CAN YOU WORK THROUGH LABOR DAY? _______________________________

HAVE YOU, AT ANY AGE EVER BEEN CONVICTED OF A CRIME (Including withheld judgments, or other plea agreements,
and any pending charges)? Crimes include: felonies, misdemeanors, etc… (other than minor traffic violations). Note Answering
"YES" does not automatically exclude you from employment. Check one: YES _____ NO _____ If yes, please explain on back.


THE INFORMATION I HAVE PRESENTED ON THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY

KNOWLEDGE.  I UNDERSTAND THAT ANY MISREPRESENTATIONS OF THE FACTS COULD RESULT IN A DISCHARGE
IF HIRED.


APPLICANTS SIGNATURE ___________________________________________    DATE __________________