Employment Application

EMPLOYMENT APPLICATION

Equal Opportunity Employer: It is our policy to abide by all federal, state and local laws prohibiting employment discrimination solely on the basis of a person’s race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex, gender, age, sexual orientation, military status, or any other protected status except where a reasonable, bona fide occupational qualification exists.

Step 1 of 5 - Personal Information

Date*
MM slash DD slash YYYY
Name*
Last First Middle
Present Address*
Street Address Address Line 2 City State ZIP Code
How long at present address?*
Home Phone*
Cell Phone
Email
If under 18, please list age
Position(s) applying for*
Salary desired (be specific)*
Days / hours available to work*
Employment desired*
- Full-time only
- Part-time only
- Full- or part-time
Date available for work*
MM slash DD slash YYYY
How did you hear about this position?*
List any relatives employed by CMC*

WORK EXPERIENCE
Please list your work experience, beginning with your most recent job held. If you were self employed, give firm name. Attach additional sheets if necessary.
*
Name of Employer Type of business
Address*
Street Address Address Line 2 City State ZIP Code
*
Your last job title Name & Title of last supervisor Phone number
Employment dates*
From To
Brief description of duties*
Reason for leaving (be specific)*
May we contact your present employer?*
- Yes
- No
Name of Employer Type of business
Address
Street Address Address Line 2 City State ZIP Code
Your last job title Name & Title of last supervisor Phone number
Employment dates
From To
Brief description of duties
Reason for leaving (be specific)
Name of Employer Type of business
Address
Street Address Address Line 2 City State ZIP Code
Your last job title Name & Title of last supervisor Phone number
Employment dates
From To
Brief description of duties
Reason for leaving (be specific)
Name of Employer Type of business
Address
Street Address Address Line 2 City State ZIP Code
Your last job title Name & Title of last supervisor Phone number
Employment dates
From To
Brief description of duties
Reason for leaving (be specific)