BATTISTONS EMPLOYMENT FORM  (Print this form only!)


Name_____________________________________   Address _____________________________

City/State/Zip ___________________________________________ Phone ___________________

18 years or older? ______ (yes/no)    Social Security # _________________________________


Hours Available to Work Per Week ________  Looking for Full time?____ Part time?____
List Hours Below:
M
T
W
T
F
S
From
 
 
 
 
 
 
To
 
 
 
 
 
 

EDUCATION

Last School Attended ________________________________ Location ___________________________

Best Subject ________________________________________ Date Graduated _________________

JOB HISTORY

From
To
Company
Salary
Position
Contact
Tel
Reason for leaving
               
               
               

REFERENCES

Name
Association
Phone
Years Known
       
       


How long will you need this job? __________  (3-6 Months;1 year;2 years;3 years; 5 plus years)

Have you ever worked in a retail store?______   Would you be willing to take a drug test? _______ (yes/no)

Can you work evenings/weekends? _______  If seeking a driving postion, do you have a CT license? ______

What is your hourly rate expectation for this job?  ______________

 (Print this form only!)