Johnny'z m&d Ilc

1414 N Mayfield Ave, Chicago, Illinois, 60651

Johnnyzmdllc@gmail.com

Employment / Job Application

PERSONAL INFORMATION

_DATE: __________________________________________

FULL NAME:_____________________________________

ADDRESS:_______________________________________

CITY:_____________________________________________

STATE:___________________________________________

E-MAIL:__________________________________________

ZIP CODE:________________________________________

PHONE:__________________________________________

SOCIAL SECURITY NUMBER (SSN):_______________

DATE AVAILABLE:________________________________

DESIRED PAY: $.

HOUR SALARY

POSITION APPLIED FOR:_________________________

EMPLOYMENT DESIRED:

FULL-TIME PART-TIME SEASONAL

EMPLOYMENT ELIGIBILITY

ARE YOU A U.S. CITIZEN?

YES. NO*

*IF NO, ARE YOU ALLOWED TO WORK IN THE U.S.?

YES NO

HAVE YOU EVER WORKED FOR THIS EMPLOYER? •

YES. NO

*IF YES, WRITE THE START AND END DATES:

__________________________________

HAVE YOU EVER BEEN CONVICTED OF A FELONY? •

YES. No

*IF YES, PLEASE EXPLAIN:

___________________________________________