CES Employment Application  *First Name   MI    *Last Name    *Address      *City St, Zip    *  * Country    *Phone   Fax   GENERAL INFORMATION * Have you ever applied with our company before     No     Yes What position are you applying for?   Pay Expected   * Are you legally eligible for employment in the United States?     No     Yes * Are you able to travel out of town/state for CES business?     No     Yes When will you be available to begin work?   What type of work are you looking for?     Full Time   Part Time   Other * Are you willing to work overtime?     No     Yes * Do you currently have a CDL?     No     Yes * Have you ever been convicted of a felony?     No     Yes If yes, explain:   EDUCATION HIGH SCHOOL School Name & Location   Did you graduate?     No     Yes BUSINESS/TRADE SCHOOL School Name & Location   Course of Study   # Years Completed         Less than 1 year 1 year 2 years 3 years 4 years 4 years 5 or more years Did you graduate?     No     Yes Degree Earned   COLLEGE School Name & Location   Course of Study   # Years Completed         Less than 1 1 year 2 years 3 years 4 years 5 or more years Did you graduate?     No     Yes Degree Earned   Memberships in Professional or Civic Organizations (Exclude those which may disclose your race or religion)   WORK HISTORY EMPLOYMENT HISTORY 1 Company Name   Job Title & Description   Address   Phone   Supervisor's Name   Date Started   Date Ended   Starting Salary   Ending Salary   Reason for Leaving   May we contact?     No     Yes EMPLOYMENT HISTORY 2 Company Name   Job Title & Description   Address   Phone   Supervisor's Name   Date Started   Date Ended   Starting Salary   Ending Salary   Reason for Leaving   May we contact?     No     Yes MILITARY * Have you served in the armed forces?     No     Yes If yes, what branch?   Describe any training relevant to the position for which you are applying   Have you received an honorable discharge?     No     Yes REFERENCES REFERENCE 1  *First Name   MI    *Last Name    *Address      *City St, Zip    *  * Country    *Phone   Fax   REFERENCE 2  *First Name   MI    *Last Name    *Address      *City St, Zip    *  * Country    *Phone   Fax   REFERENCE 3  *First Name   MI    *Last Name    *Address      *City St, Zip    *  * Country    *Phone   Fax   CERTIFICATION I hereby certify that the information provided in this application is true and correct to the best of my knowledge. I understand that providing false information may be grounds for dismissal. Please fill out this electronic signature:  *First Name   MI    *Last Name       * Indicates required fields