Job Application

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

Name *
Surname *
Email Address *

Contact Details

Address
City
Zip
Telephone
Cell phone

Interview Questions

Position Applying For
How were you referred to M&B Enterprises?
Where did you complete your degree?
Start Date Requested?
Desired Wage
Desired Shift
How many hours per week are you willing to work?
Are you interested in full time employment?	Yes No
How long do you plan to be employed for this position?
Are you a U.S citizen or otherwise authorized to work in the U.S. on an unrestricted basis?	Yes No
Have you ever been convicted of a felony?	Yes No
If yes please describe conditions

Education

High School
Location
Collegw
Major
Degree	Yes No
Other training
Awards, Achievements, or Certificates
Hobbies
Are you involved in any hobbies or activities that would affect your work schedule or that are related to the position you are applying for

Employment History(Start with the most recent)

Company Name
Address
Phone
Dates Employed
Wage Range
Position(s) held
Supervisor
May we Contact	Yes No
Responsibilities
Reason for Leaving

Company Name
Address
Phone
Dates Employed
Wage Range
Position(s) held
Supervisor
May we Contact	Yes No
Responsibilities
Reason for Leaving

Company Name
Address
Phone
Dates Employed
Wage Range
Position(s) held
Supervisor
May we Contact	Yes No
Responsibilities
Reason for Leaving

Additional Information

Please list any other skills, qualifications, or achievements that we should consider
What interests you about this position?
Would there be any medical or physical conditions that would require special accommodations?	Yes No
If yes what are they?

References (3)

Name
Phone
Title or Relationship

Name
Title or Relationship

Name
Phone
Title or Relationship
Phone

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations or my prior educational and employment history. I understand that employment at this company “at will” which mean that either I or this company can terminate the employment relationship at any time with or without prior notice, and for any reason not prohibited by statute. All employment will continue on that basis. I understand that no supervisor, manager, or executive of this company, other than the president has the authority to alter the foregoing.

	* You must read and agree to submit your application