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Employment Application
Name: Hunchis Last Telephone: 641-430-7411 Address:
Hannah
Waitress
EMPLOYEE INFORMATION
Frances
Are you able to perform the essential functions of the position with or without accommodations?
Yes 14 18 Yes No 15 19 No Yes No 16 21 (Check one)
If necessary for the job, I am able to: Yes No Work overtime? Yes No Provide a valid Alaska Driver's License? Iowa If so, fill out the following: Issuing state: Permanent Type: Endorsement(s):
Hazardous Material Tankers School Bus Any Split Day Night Other: Passengers Tank with Hazardous Materials Double/Triple trailers Swing Rotating
EMPLOYMENT HISTORY
List most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, in the summary following this section or on an extra sheet of paper if necessary. No more than 10 years history recommended.
Start date:
End date:
9/15/13 8/10/14 Server. Took people's drink orders, relled their drinks, took their dishes, cleaned and reset tables. Also closed down the server station Reason for leaving: and restaurant area after closing time.
College
Telephone:
641-324-5478
Start date: End date: Reason for leaving:
Rev. 8/2010
!
Summarize other employment related to this job:
EDUCATION
Institution name High school College/university Business/technical Additional
Northwood-Kensett
Years completed
3.5 General
Field of study
Graduate or degree
Will graduate May 18, 2014
MILITARY
Are you a veteran? Duty/specialized training: Yes No
Types of computers, software, and other equipment you are qualified to operate or repair:
General computers
Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employers attention:
Previous employment as a waitress Typing speed: 150 per minute Word
REFERENCES
64-543-7890 Telephone Teacher Occupation 4 Years Years known
List two personal references who are not relatives or former supervisors.
Beth Butler Name Keith Fritz Name 3699, 5th St. south Address 5678, 7th St. North Address
Telephone
Occupation
Years known
CONTACT
In case of accident or illness, please contact: Name: John Hunchis Address: 1769 440th St. Northwood, Iowa Daytime phone: 641-430-6399 Relationship: Father
Hannah Hunchis
1-4-14
Signature of Applicant
Date
Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment. Developed at employer request by the Alaska Department of Labor & Workforce Development, Employment Security Division. Rev. 8/2010 Employment Application Page 2 of 2