Mock Job Application

[Fake Company / Awesome Logo]

454 Random Street
Stroudsburg, PA 18360

Phone: [000-000-0000]
Fax: [000-000-0000]

Personal Information
Last

First

mckinnis

raine

MI

Street Address

City

3102 kennebec St
Yes

AL

Yes

No

Zip

Home Phone

35473

Are you 18 or older?

No

Have you been conviced of a felony or been incarcerated in connection with a

Yes
No
felony in the past seven years?
Military Service?

Email

Rainemckinnis1@gmail.com

ST

Northport

Are you entitled to work in the United States?

SSN#

D.

Branch

Mobile Phone

205-454-5435

Yes

No

Yes

No

If yes, Date of Birth

If yes, please explain:

Are you a veteran?

What position are you applying for?

How did you hear about this position?

cosmetologist

online, friends and family

Expected Hourly Rate

Expected Weekly Earnings

Date Available

open

open

open

Current or Most Recent

Prior

War

Prior Work Experience

Employer

Prior

n/a

Address
City, ST, ZIP
Telephone
Name of Immediate Supervisor
Dates of Employment

From

To

From

To

From

To

Position/Job Title
Pay
Reason for Leaving
May We Contact

Yes

No

Yes

No

Yes

No

Education
Name/Location

High School

Last Year Complete

tuscaloosa county high school

09
1

College/University
Trade School

Degree

10

11

12

Major or Emphasis

Other
List any applicable special skills,
training or proficiencies.
Disclaimer - By signing, I hereby certify that the above information, to the best of my knowledge,
is correct. I understand that falsification of this information may prevent me from being hired or
lead to my dismissal if hired. I also provide consent for former employers to be contacted
regarding work records.

Signature

Date

raine mckinnis

1/12/17