Career Plan Job Application



Central Bucks Career Plan Job ApplicationFor this part of the Career Plan, you will be completing a job application that simulates one you would find if you were applying for a job at local businesses in our community. Consider this exercise in the Career Plan as a practice for a future job application. _________________________________________________________________________PERSONAL INFORMATIONDATE OF APPLICATION: NameLastFirstMiddleAddressStreet City/StateZip CodeContactInformationHome TelephoneCell PhoneEmail__________________________________________________________________________EducationName and LocationAnticipated/Graduation dateHigh School__________________________________________________________________________Previous ExperiencePlease list your work experience beginning with the most recent job held. Dates EmployedCompany NameLocationType of Position HeldJobs held, tasks performed, skills used/learned, advancements/promotions, and reason for leaving: Dates EmployedCompany NameLocationType of Position HeldJobs held, tasks performed, skills used/learned, advancements/promotions, and reason for leaving: Dates EmployedCompany NameLocationType of Position HeldJobs held, tasks performed, skills used/learned, advancements/promotions, and reason for leaving:__________________________________________________________________________ReferencesNameTitle/PositionRelationship to youContact information__________________________________________________________________________Are you currently authorized to work in the United States? Choose an item.List types of computers, software, and other equipment you are qualified to operate or repair:List other qualifications such as special skills, abilities, or honors that should be considered:List professional licenses, certifications or registrations:List additional skills, including leadership skills, other languages or information regarding the career/occupation you wish to bring to the employer’s attention:Have you ever been fired or asked to resign from a job? (If so, please explain for each instance, why you were fired or asked to resign from a job.)How many jobs have you quit in the past 5 years?Choose an item.In the past year, on average, how many times per month have you been late for work or school without permission?Choose an item.In the past year, how many times have you said or done something on purpose that would probably cause a customer not to come back?Choose an item.How many times have you found yourself in a loud argument with a supervisor, coworker, or customer?Choose an item.In all of your jobs, how many times have you arranged it so that you or someone else could get a product or service for free or at a discount when you weren’t supposed to?Choose an item.Do you believe a person who has taken merchandise from his/her company just a few times should be given another chance?Choose an item.Do you think it is OK to take damaged goods from a company?Choose an item.Do you believe that nearly every worker has, at some time, cheated his employer out of something?Choose an item.Did you ever think you had a good reason for cheating a company out of some money?Choose an item.Do you believe a worker who takes money from the place where he works should go to jail?Choose an item.If you could get into a movie without paying, and be sure you would not get caught, would you do it?Choose an item.If you found $100 that was lost by a bank truck on the street yesterday, would you turn the money over to the bank, even though you knew for sure there was no reward?Choose an item.You get tremendous satisfaction out of serving others.Choose an item.You avoid doing favors for people when you know they will never pay you back.Choose an item.As long as you get the job done, how you do it is your business.Choose an item.You care more about other people’s feelings than you do about your own.Choose an item.In past jobs, you have found it difficult to stay interested in work.Choose an item.These days people have to fight for what is rightfully theirs.Choose an item.Making other people feel good is the most important thing in your life.Choose an item.The best way to get ahead in your career is to stay at one company for a long time.Choose an item.With your luck, you will probably have to work for a number of different companies before you find one that you really like.Choose an item.Most employees are very loyal to the company they work for.Choose an item.When are you available to begin working?Do you have a valid PA driver’s license? Choose an item.Please be aware that some applications require you to answer questions like the one below.? You will not?be answering them?here for the CP project, but you should read them.Have you ever been convicted of a violation of law other than a minor traffic violation?If yes, please explain.Have you ever been convicted of a felony? If yes, please explain.Have you ever been convicted of any offense for physical or sexual abuse of a child?If yes, please explain.Were you ever convicted of a criminal offense? If yes, please explain.__________________________________________________________________________Disclaimers and AffirmationOur company is an Equal Opportunity Employer and does not discriminate in its hiring and employment practices on the basis of gender, race, color, creed, religion, national origin, age or disability. I certify that all of the statements made by me are true, complete and correct to the best of my knowledge and belief, and are made in good faith. I hereby authorize any and all of my previous employers and/or supervisors to release any and all of my personnel records, and to respond fully and completely to all questions that officials my ask regarding my prior work history and performance. I will hold such previous employers and/or supervisors harmless of any and all claims that I might otherwise have against them with regard to statements made to this company. I further authorize these officials to investigate my background information now or in the future, to verify the information provided and release from liability all persons and/or entities supplying information regarding my background. However, I do not authorize the production of medical records and other information, which would tend to actually identify a disability nor do I authorize inquiries which would include information related to any medical condition or medical history. Further, I do not waive any rights which I may have under state of federal law related to my right to challenge the disclosure of unlawful or inaccurate information, whether by this company or by entities or persons providing such information to this company, including any and all claims concerning allegation of employment discrimination because of race, color, sex, religion, national origin, ancestry, age or disability.SignatureDate ................
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