Applicant Information
Last Name / First / M.I. / Date
Street Address / Apartment #
City / State / ZIP
Home Phone / Email
Cell Phone / O.K. to Text Y N Cell phone provider
Date Available / Social Security # / Desired Salary / $
Position Applied For
Employment Desired £ Full-Time / £ Contract / Temporary
Are you authorized to work in the U.S.? £ Y £ N
Have you ever been convicted of a felony? £ Y £ N / If yes, explain
Have you ever been convicted of a crime? £ Y £ N
(example – alcohol / moving violation, etc.) / If yes, explain
Education
High School / Address
From / To / Did you graduate? £ Y £ N / Degree
College / Address
From / To / Did you graduate? £ Y £ N / Degree
Other / Address
From / To / Did you graduate? £ Y £ N / Degree
Work Experience
Company / Phone ( )
Address / Supervisor
Job Title / Starting Salary / $ / Ending Salary / $
Responsibilities
From / To / Reason for Leaving
May we contact your previous supervisor for a reference? £ Y £ N
Company / Phone ( )
Address / Supervisor
Job Title / Starting Salary / $ / Ending Salary / $
Responsibilities
From / To / Reason for Leaving
May we contact your previous supervisor for a reference? £ Y £ N
Company / Phone ( )
Address / Supervisor
Job Title / Starting Salary / $ / Ending Salary / $
Responsibilities
From / To / Reason for Leaving
May we contact your previous supervisor for a reference? £ Y £ N
References
Please list three professional references. May we contact these references? £ Y £ N
Full Name / Relationship
Company / Phone / ( )
Address
Full Name / Relationship
Company / Phone / ( )
Address
Full Name / Relationship
Company / Phone / ( )
Address
Disclaimer & Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give AimHire permission to contact schools, previous employers, references and others, and hereby release AimHire from any liability as a result of such contact.
I understand that, in connection with the routine processing of my employment application, AimHire may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics and mode of living. Upon written request from me, AimHire will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.
Signature Date

This company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with AimHire depends solely on your qualifications.

Thank you for completing this application form and for your interest in our business.

Referrals
How did you hear about us?
Do you know anyone looking for new job opportunity? Please list any referrals and their email or phone number here so we may contact them for their resume. If we place them in a position, we will thank you with a gift card! / Name ______Email ______
Name ______Email ______
Name ______Email ______