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200 views2 pages

Application

Uploaded by

api-247359107
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Employment Application
Name: Ritzert Last Telephone: 641-494-9994 Address:
Alex

COMPANY OR EMPLOYER NAME:


Best Buy

Position applying for:

Sales Consultant

EMPLOYEE INFORMATION
J

First Email: [email protected]

Middle Alternate telephone:

315 16th Street Northwest

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 are you older than:

If necessary for the job, I am able to: Yes No Work overtime? Yes No Provide a valid Alaska Driver's License? If so, fill out the following: Issuing state: Iowa Type: Common Endorsement(s):
Hazardous Material Tankers School Bus Any Split Day Night Other: Passengers Tank with Hazardous Materials Double/Triple trailers Swing Rotating

I am legally eligible for employment in the U.S.? I am seeking a permanent position:

Work the following shifts: (check all that apply)


Graveyard

I will be able to report to work 7 days after being notified I am hired.

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. Hy-Vee

Employer name and address:

Position title/duties, skills:

12/7/2013

Start date:

n/a

End date:

Reason for leaving:


Cashier/Stocker Pay: $ 8.00 Per: hour Supervisor: Employer name and address: Position title/duties, skills:

Telephone: Start date: End date:

Reason for leaving: Pay: $ Per: Employer name and address:

Supervisor: Position title/duties, skills:

Telephone: Start date: End date:

Reason for leaving: Pay: $ Per: Employer name and address:

Supervisor: Position title/duties, skills:

Telephone: Start date: End date:

Reason for leaving: Pay: Per: $ Supervisor: Telephone:


Employment Application Page 1 of 2

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

Field of study
General Education

Graduate or degree
High School

MILITARY
Are you a veteran? Duty/specialized training: Yes No

SKILLS & QUALIFICATIONS


Other qualifications such as special skills, abilities or honors that should be considered:
I am currently using a computer that I built myself

Types of computers, software, and other equipment you are qualified to operate or repair: Professional licenses, certifications or registrations: Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employers attention:
I am very tech savvy and love to make people love technology Typing speed: 60 per minute

REFERENCES
List two personal references who are not relatives or former supervisors.
Dan Nonnwiler Name Scott Albrech Name Address Address 641-494-9494 Telephone 641-949-4949 Telephone 14 Occupation Occupation Years known 12 Years known

CONTACT
In case of accident or illness, please contact: Name: Michelle Ritzert Address: 315 16th ST. Northwest Daytime phone: 641-420-5966 Relationship: Mother

INFORMATION TO THE APPLICANT


As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above. Alex Ritzert Febuary 4, 2014

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

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