New Instructor Application

[PRE-EMPLOYMENT QESTIONNAIRE CAN EQUAL OPPORTUNITY EMPLOYERS]



PERSONAL INFORMATION



NAME
                       DATE
                                                                                                                                   SOCIAL SECURITY NUMBER


PRESENT ADDRESS

                       PERMANENT ADDRESS



   PHONE NUMBER
                       ARE YOU 18 YEAR OLDER ? YES NO


ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED
IN THE COUNTRY BECAUSE OF VISA OR IMMIGRATION STATUS ?
YES NO



EMPLOYEE DESIRE



POSITION
DATE YOU CAN START
SALARY DESIRE


ARE YOU EMPLOYED NOW ?
IF SO MAY WE INQUIRE OF YOUR PRESENDT EMPLOYED ?
                            


EVER APPLIED TO THIS COMPANEY BEFORE ?
                    WHERE ?
              WHEN ?



REFERED BY




EDUCATION
NAME AND LOCATION OF SCHOOL
NO OF YEARS ATTENDED
         DID YOU GRADUATE ?
SUBJECT STUDIED




GRAMMER SCHOOL


HIGH SCHOOL


COLLEGE


TRADE,BUSSINESS OF
COARESPONDENCE SCHOOL




GENERAL



SUBJECTS OF SPECIAL STUDY OR RESEARCH WORK


SPECIAL SKILLS
     


ACTIVITIES:(CIVIC,ATHLETIC,ETC)
     


EXCLUDE ORGANIZATIONS,THE NAME OF WHICH INGIGATES THE RAGE,CREED,SEX,AGE,MARTIAL,STATUS,COLOR OR NATION OF ORIGION OF ITS MEMBERS.

     


US MILITARY OR NAVEL SERVICE
RANK
PRESENT MEMBERSHIP IN NATIONAL GUARD OR RESERVES