Application for Employment at DataSearch, Inc.


First Name: Last Name: Middle Initial:
Street Address 1:
Street Address 2:
City: State: ZIP:
Home Phone Number: Cell Phone Number:
Who may we contact in case of emergency? 
Emergency Contact's Number:

Employment Desired
Position you are applying for:
Date you can start:
Have you applied for employment with DataSearch, Inc. in the past?Yes No
If Yes, When?
Are you a citizen of the United States? Yes No
If No, Are you authorized to work in the US? Yes No
Have you ever been convicted of a felony? Yes No
If Yes, Please Explain:


Work History
Your most current employer:
Employed From: To:
Job Title:
Your immediate supervisors name:
Description of your duties:

Reason for leaving:
May we contact this employer? Yes No

Your 2nd most current employer:
Employed From: To:
Job Title:
Your immediate supervisors name:
Description of your duties:

Reason for leaving:
May we contact this employer? Yes No

Your 3rd most current employer:
Employed From: To:
Job Title:
Your immediate supervisors name:
Description of your duties:

Reason for leaving:
May we contact this employer? Yes No

References
Please enter at least 3 references we may contact.
Reference 1 Name: Contact Number:
Reference 2 Name: Contact Number:
Reference 3 Name: Contact Number:

Education
Highest level of education completed:
Subject of special studies or research work?
What foreign languages do you speak fluently?

Resume
Please copy and paste the text of your resume in the space provided below.

Digital Signature
By entering my initials below, I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of the facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and, regardless of the date of payment of my wages and salary, and be terminated at any time without previous notice.