Avalon Recruiting Professionals

Emploment Application Form

Items shown indicate required field.


General Information
Last Name: First Name:  Middle Initial:

Street Address: City:
State: Zip:

Home Phone: Relative's Phone:

Business Phone: Cell Phone:

Email Address:

Position Desired: Part Time    Full Time    Either

Salary or Wage Desired:  Least wage you will accept:

Willing / Able to Work Overtime: No Yes      Smoker: No Yes

Area of Town Desired:

Emergency Contact: Relationship:

Emergency Phone 1: Phone 2:
Employment History
*Give last position first

From:   To:

Employer:

Employer's Address:

Line of Business:   Job Held:

Supervisor's Name:   Supervisor's Phone #:

Salary:   Per:

Reason for Leaving:

List all responsibilities of above job:

Dates Employed
From:   To:

Employer:

Employer's Address:

Line of Business:   Job Held:

Supervisor's Name:   Supervisor's Phone #:

Salary:   Per:

Reason for Leaving:

List all responsibilities of above job:
Dates Employed
From:   To:

Employer:

Employer's Address:

Line of Business:   Job Held:

Supervisor's Name:   Supervisor's Phone #:

Salary:   Per:

Reason for Leaving:

List all responsibilities of above job:
Resume
Resume ( paste your resume here ):

Will you accept a short term assignment? Yes   No
Skill Detail
Check if you have experience in the following:

Full Charge Bookkeeping
Multi-line Phone System
Accounts Payable
Quarterly Reports
Calculator

Spreadsheet
10-key
Dictaphone
Power Point
Lotus 123
Profit & Loss		 Financial Statements
Tax Statements
Trial Balance
Payroll
Excel
Quicken
QuickBooks
Windows Version(s)

Word Version(s)  
Education
High School:

Did you graduate? Yes   No   GED

College:

Major:

Did you graduate? Yes   No

Special Schools

Complete Courses Yes   No

Military Branch

Discharge Type
Criminal History
Except for minor traffic violations, have you ever been convicted of ANY crime, recieved ADJUDICATION or PROBATION?
No Yes
Are you currently under indictment or probation? No Yes
Terms of Application Submission
By submitting this application you authorize Avalon Resources, and any of its employees or associates to verify information provided as being correct and truthful. Falsification of this Employment Application will result in immediate dismissal. Be aware that references will be verified and a criminal background check will be performed.