Employment Application
James Ellis Contracting Poway, CA 92064						Last Name, First Initial:
Personal Information
Name (Last, First, MI)
Street address
City, State, Zip
Home phone number			Work phone number
Facsimile number			E-mail address
Social security number			Driver’s license number/state/expiration
			(if job involves any driving)
Employment Desired
Position applied for
How did you hear about this position?
Date available for work			Desired hours (full time, part time, etc.)
Education
	Name and Address of School	Course of Study		Total Years of Study	Degree/ Diploma
High School						Today’s Date:
Undergraduate College
Graduate/ Professional
Other (Specify)
List any seminars, classes or other education not listed above which may help qualify you for this position (if you need additional space, please use page 7):

Employment Application
Employment History
List below all present and past employers over the past ten years, starting with your most recent employer. Account for all periods of unemployment. You must complete this section even if attaching a resume. May we contact your current employer? YES NO
1.	Employer (current Yes No)		Start Date	End Date	Essential job functions of final position
	Address				1.
	City, State, Zip		Starting Salary	Ending Salary	2.
	Phone number				3.
	Fax number	Supervisor(s)			4.
	Job position(s)	E-mail address of supervisor
	Reason(s) for leaving
	What value did you add to this company or its customers?
2.	Employer		Start Date	End Date	Essential job functions of final position
	Address				1.
	City, State, Zip		Starting Salary	Ending Salary	2.
	Phone number				3.
	Fax number	Supervisor(s)			4.
	Job position(s)	E-mail address of supervisor
	Reason(s) for leaving
	What value did you add to this company or its customers?

[PLEASE CONTINUE ON NEXT PAGE]

Employment Application
Employment History
3.	Employer		Start Date	End Date	Essential job functions of final position
	Address				1.
	City, State, Zip		Starting Salary	Ending Salary	2.
	Phone number				3.
	Fax number	Supervisor(s)			4.
	Job position(s)	E-mail address of supervisor
	Reason(s) for leaving
	What value did you add to this company or its customers?
4.	Employer		Start Date	End Date	Essential job functions of final position
	Address				1.
	City, State, Zip		Starting Salary	Ending Salary	2.
	Phone number				3.
	Fax number	Supervisor(s)			4.
	Job position(s)	E-mail address of supervisor
	Reason(s) for leaving
	What value did you add to this company or its customers?

[PLEASE CONTINUE ON NEXT PAGE]

Employment Application
Additional Information
List any professional, trade, business or civic activities and offices held. You may exclude membership that would reveal gender, race, religion, national origin, ancestry, age, disability or any other protected status.
List any languages other than English that you can speak, read or write that could be of benefit to the position applied for:
	Fluent	Good	Fair
Speak
Read
Write
Identify formal job training that relates to this position:
Identify what skills or certification you possess related to this position:
If you are hired, what value would you add to our company?:
Describe what you believe are the most unique features of your work history: