Moneysworth Application for Employment

1. General      


Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.)
Are you looking for full-time employment? Yes
No
If no, what hours are you available?
Are you able to stand for prolonged periods of time? Yes 
No
Are you able to bend? Yes 
No
Can you lift 40lb? Yes 
No
Can you push and pull weighted/wheeled carts? Yes 
No
Can you work in an environment that is not air-conditioned? Yes 
No
Can you climb up and down stairs? Yes 
No
Have you had any accidents in past 3 years? Yes 
No
Have you had any moving violations in the past 3 years? Yes 
No
Do you agree to Moneysworth running a MWR (motor vehicle report)? Yes 
No
Would you agree to a criminal background check: Yes
No
Have you worked with this company before: Yes
No

2. Education

Type of School Name of School and Mailing Address No. of Years Completed Major or Degree
High School

College, Bus or Trade School

Professional School


In addition to your work history, are there other skills, qualifications, or experience that we should consider?

3. Employment History (Start with most recent employer)

Employer 1

Name of employer:
Name of last supervisor:
Employer's phone number:
Employer's address:
Your last job title:




May we contact your employer: Yes
No

Employer 2

Name of employer:
Name of last supervisor:
Employer's phone number:
Employer's address:
Your last job title:




May we contact your employer: Yes
No

Employer 3

Name of employer:
Name of last supervisor:
Employer's phone number:
Employer's address:
Your last job title:




May we contact your employer: Yes
No

4. References

LIST REFERENCES OTHER THAN RELATIVES AND PREVIOUS EMPLOYERS:


Name Position Company Telephone
Reference 1

Reference 2

Reference 3


I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history.

I do understand that this job is a seasonal position and does require working weekends.

2020 Moneysworth
Created by: ngnly