Employment at Fifer's Seafood Home
Online Application

This is the preamble of the employment form.
 
Position
Position applying for 
 
Applicant Information
First Name 
Last Name 
Address 
City 
State 
Zip 
Phone # 
Cell Phone #
Email
Social Security Number 
I am legally eligible for employment in the US
Are you 18 or older
Are you 21 or older
 
Education
1. High School
    Years Attended
    Graduated
2. College
    Years Attended
    Graduated
 
Employment
1. From & To
    Name, Phone, Location of Employer
    Salary
    Position
    Reason for Leaving
    Supervisor
2. From & To
    Name, Phone, Location of Employer
    Salary
    Position
    Reason for Leaving
    Supervisor
3. From & To
    Name, Phone, Location of Employer
    Salary
    Position
    Reason for Leaving
    Supervisor
4. From & To
    Name, Phone, Location of Employer
    Salary
    Position
    Reason for Leaving
    Supervisor
 
Other Information
Have you ever been convicted of a felony?
If yes, explain
 
 
I hereby affirm that the information given by me on this application is complete and accurate. I understand that any falsification will be immediate grounds for termination. If I am hired, I agree that my employment and compensation can be terminated with or without notice at any time.
 
Applicant Name  
Date  
I Agree with the above
Copyright © 2005 by Action Systems, Inc