Hocus Pocus Magic Shop

DATE  ________________________________

Name  ______________________________________________________________________________________________
Last  First  Middle  Maiden
Present address  ______________________________________________________________________________________
Number Street City State Zip
How long ____________________
Contact ______________
If under 18, please list age  _____________________
Position applied for  (1) ________________________
and salary desired   (2)  ________________________
(Be specific)
Days/hours available to work
No Pref  _______ Thur  ________
Mon __________  Fri __________
Tue  __________  Sat  _________
Wed  _________  Sun  ________
How many hours can you work weekly? _________________________  Can you work nights?  _______________________
Employment desired __ FULL-TIME ONLY  __ PART-TIME ONLY    __ FULL- OR PART-TIME
When available for work?_______________
____________________________________________________________________________________________________
TYPE OF SCHOOL NAME OF SCHOOL LOCATION
(Complete mailing
address)
NUMBER OF YEARS
COMPLETED
MAJOR &
DEGREE
High School
College
Bus. or Trade School
Professional School

OFFICE ONLY
__ Yes __ Yes Word __ Yes
Typing __ No   _____ WPM 10-key   __ No Processing __ No     _____ WPM
Personal  __ Yes  __ PC
Computer __ No __ Mac
Other  _____________________________________________
Skills ______________________________________________
Please list two references other than relatives or previous employers.
Name  _______________________________________ Name  _____________________________________________
Position  ______________________________________ Position  ___________________________________________
Company _____________________________________ Company  __________________________________________
Address ______________________________________ Address  ___________________________________________
___________________________________________ ______________________________________
Telephone  (      )   Telephone  (      )

Please list your work experience for the past five years beginning with your most recent job held.
If you were self-employed, give firm name.  Attach additional sheets if necessary.
Name of employer
Address
Name of last
supervisor
Employment dates Pay or salary
City, State, Zip Code
Phone number
From
To
Start
Final
Your last job title
Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.