Career Application

APPLICATION FOR EMPLOYMENT
STILLE HAVN HUS, INC IS AN EQUAL EMPLOYMENT OPPORTUNITY COMPANY
Please answer ALL questions.

PERSONAL INFORMATION

First Name

Last Name

Street Address

City

State

Zip Code

Phone Number

Cell Number

Your email

Employment Desired

Position

How many hours per week would you like to work?

Have you applied with this company before?


Education

High School
School Name

School Address

Degree/Diploma

College
School Name

College Address

Degree/Diploma

Trade, Business, Other
Name

Address

Degree/Diploma

Special Skills & Qualifications (List job related licenses, skills, training, honors)


Employment History

Employer One

From

To (Leave blank if still there)

Employer

Address

Supervisor

Phone Number

Position

Salary

Reason For Leaving

Former Employer Two

From

To

Employer

Address

Supervisor

Phone Number

Position

Salary

Reason For Leaving

Former Employer Three

From

To

Employer

Address

Supervisor

Phone Number

Position

Salary

Reason For Leaving

Former Employer Four

From

To

Employer

Address

Supervisor

Phone Number

Position

Salary

Reason For Leaving


References, personal, not family

Reference One
Reference Name

Phone Number

Reference Address

Reference Occupation

Reference Two
Reference Name

Phone Number

Reference Address

Reference Occupation


Do you have a valid driver's license?

If no driver's license, please explain

AUTHORIZATION
I certify that information contained in this application is true and complete. I understand that false, misleading, or incomplete information may be grounds for not hiring me or for immediate termination or employment at any point in the future if I am hired. I authorize the verification of any or all information listed above, and by singing this application, I authorize Stille Havn Hus, Inc to complete reference checks and background studies.
Electronic Signature

Signature