Application for Employment
How did you hear about Dreamsan?
Position Applied for:
Date of Application:
First Name:
Middle Name:
Last Name:
Address Number:
Street Name:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Do You Have Any Relatives at Dreamsan?	Yes No
If Yes, please give name(s):
If you are under 18, can you provide proof of your eligibility to work?	Yes No
Have you ever applied at Dreamsan before?:	Yes No
If Yes, please give date:
Have you ever been employed here before?:	Yes No
If Yes, please give date:
Are you currently employed?	Yes No
May we contact your employer?	Yes No
Can you lawfully work in the US?	Yes No
On what date will you be available for work?
Are you available to work?
Are you currently laid off?	Yes No
Can you travel if required?	Yes No
Have you been convicted of a felony within the last 7yrs?	Yes No
If Yes, Please explain:
Level of Education Completed:
Specify Other Education:
Name and Address of School:
Course of Study:
Years Completed:
Diploma or Degree:
Primary language spoken/read/written:
Additional languages:
Additional language level:	Fluent Good Fair
Specialized training or skills:
Related Military Job Training:
EMPLOYMENT HISTORY
Employer 1
Name:
Address:
Phone Number:
Your Job Title:
Reason for leaving:
Supervisor:
Dates Employed:
Hourly/Salary Rate (at start of employment):
Hourly/Salary Rate (at end of employment):
Work Performed:
Employer 2
Name:
Address:
Phone Number:
Your Job Title:
Reason for leaving:
Supervisor:
Dates Employed:
Hourly/Salary Rate (at start of employment):
Hourly/Salary Rate (at end of employment):
Work Performed:
Employer 3
Name:
Address:
Phone Number:
Your Job Title:
Reason for leaving:
Supervisor:
Dates Employed:
Hourly/Salary Rate (at start of employment):
Hourly/Salary Rate (at end of employment):
Work Performed:
I certify that answers given herein are true and complete to the best of my knowledge. In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge. I understand, also, that I am required to abide by the rules and regulations of the employer.	(please check box to indicate agreement):
Digital Signature (type name):