Job Application

Personal Info

Employment Desired

Education History

General Info

Former Employers

References

Give below the names of (3) persons not related to you, whom you have known at least (1) year.

Career History

Please read these instructions carefully before completing the form.

1. In the Business Experience section, each letter (A, B, C, etc.) corresponds to a specific job. If, for example, your present employer is Acme and you have had three different jobs, each with a different job title with Acme:
   A is Acme, present job
   B is Acme, the next previous job
   C is Acme, the job previous to B
   Please complete a section of this form (A, B, C, etc.) for every job where there was a change in your job title. The only jobs to be grouped would be ones such as a two-year job rotation in a management training program - where the "job" changes every three months but the salary stays basically the same, and the job title is really "management trainee."
2. Begin with your present, or most recent job, and progress backward in time going from A to B to C, etc.
3. The form is set up for up to 10 job titles, A-J. If you have had more than 10 jobs, that's okay, but please attach a separate sheet outling those additional jobs formatted like jobs D-J.
4. For each job you are asked to estimate how your final boss would rate your overall performance on a scale of Excellent, Very Good, Good, Fair, and Poor.

If you are applying for a job with a different company: At an appropriate time (near a job offer) we may ask you to arrange personal reference calls with bosses you've had.

Business Experience

Please start with your present or most recent position. REMINDER: Do not combine jobs. Fill out a complete section of this form for every job where job title changed.

A.

What is your best guess as to how this supervisor would rate your overall performance?

If you are leaving or have left the company, please indicate your motivation to leave

B.

What is your best guess as to how this supervisor would rate your overall performance?

If you are leaving or have left the company, please indicate your motivation to leave

C.

What is your best guess as to how this supervisor would rate your overall performance?

If you are leaving or have left the company, please indicate your motivation to leave

D. - J.

Military Experience

Education

High School (Highest grade completed)

College/Graduate School (Highest grade completed)

High School

College/Graduate School

Activities

Career Needs

Willing to relocate?

Other

Do you have the legal right to work for any employer in the U.S.?

Would you be willing to arrange reference calls with supervisors you've had in the past decade, as a last step before a final job offer?

I certify that answers given in this Glacier Ice SLO Career History Form are true, accurate and complete to the best of my knowledge. I authorize investigation into all statements I have made on this Form as may be necessary for reaching an employment decision. I understand that I may be asked to arrange reference calls with managers I've worked for.

In the event I am employed, I understand that any false or misleading information I knowingly provided in my Career History Form or interview(s) may result in discharge and/or legal action. I understand that if employed, I am required to abide by all rules and regulations of the employer and any special agreements reached between the employer and me.