718 Dartmouth Street, Dartmouth, Massachusetts, 02748

774-628-9193

info@pickleballandmorema.com

employment application

Applicant Information

First Name:*

First Name

Last Name:*

Last Name

Date:

Date

Street Address:*

Street Address

Apartment/Unit #

Apartment/Unit

City:*

City

State:*

State

ZIP Code:*

ZIP Code

Phone:*

Phone

Date Available:*

Date Available

Email:*

Position Applied for:*

Position Applied for

Are you a citizen of the United States?*

Are you a citizen of the United States?Yes Yes No No

If no, are you authorized to work in the U.S.?

If no, are you authorized to work in the U.S.?Yes Yes No No

Have you ever worked for this company?

Have you ever worked for this company?Yes Yes No No

If yes, when?

yes

Have you ever been convicted of a felony?*

Have you ever been convicted of a felony?Yes Yes No No

If yes, explain:

explain

Education

High School:

High School

Address:

Address

From:

From

To:

Did you graduate?

Did you graduate?Yes Yes No No

Diploma:

Diploma

College:

College

Address:

Address

From:

From

To:

Did you graduate?

Did you graduate?Yes Yes No No

Degree:

Degree

Other:

Other

Address:

Address

From:

From

To:

Did you graduate?

Did you graduate?Yes Yes No No

Degree:

Degree

References

Please list three professional references.

Full Name:

Full Name

Relationship:

Relationship

Company:

Company

Phone:

Phone

Address:

Address

Full Name:

Full Name

Relationship:

Relationship

Company:

Company

Phone:

Phone

Address:

Address

Full Name:

Full Name

Relationship:

Relationship

Company:

Company

Phone:

Phone

Address:

Address

Previous Employment

Company:

Company

Phone:

Phone

Address:

Address

Supervisor:

Supervisor

Job Title:

Job Title

Responsibilities:

Responsibilities

From:

From

To:

Reason for Leaving:

Reason for Leaving

May we contact your previous supervisor for a reference?

May we contact your previous supervisor for a reference?Yes Yes No No

Company:

Company

Phone:

Phone

Address:

Address

Supervisor:

Supervisor

Job Title:

Job Title

Responsibilities:

Responsibilities

From:

From

To:

Reason for Leaving:

Reason for Leaving

May we contact your previous supervisor for a reference?

May we contact your previous supervisor for a reference?Yes Yes No No

Company:

Company

Phone:

Phone

Address:

Address

Supervisor:

Supervisor

Job Title:

Job Title

Responsibilities:

Responsibilities

From:

From

To:

Reason for Leaving:

Reason for Leaving

May we contact your previous supervisor for a reference?

May we contact your previous supervisor for a reference?Yes Yes No No

Availability – Part Time Positions Only

Please check the boxes below to indicate the days and times you are available to work.

Military Service

Branch:

Branch

From:

From

To:

Rank at Discharge:

Rank at Discharge

Type of Discharge:

Type of Discharge

If other than honorable, explain: honorable

* indicates required field