Transcript Training
Going to a Job Site Being prepared for the application General Information Name Date of Birth (DOB) Other Names Mother’s Maiden Name Social Security Number (SS#) Driver’s License Number (CDL) More Information Present address Length of time there Telephone number (w/area code) Phone number for messages Email address Mailing address More info Previous Address How long were you there? Why did you move? Place of Birth (City, State, Country) U.S. Citizen (Yes/No) Passport/Visa number Resident (Green) Card # And even MORE info Are you bondable? Have you ever been convicted of a crime? Give details Will you submit to drug testing? Have you ever had a problem with alcohol or drug abuse - Explain Emergency Information Who do we contact? What is their relationship? What is their address What is their phone number, pager number? What is their work number? Is there any other person we could contact in case of emergency? Medical Information Doctor’s Name Doctor’s address (city, state,zip) Doctor’s phone number Insurance plan (Name and numbers) Do you have any known allergies? Please list any medications you take Do you have any disabilities? Education Present Grade GPA Graduation date anticipated Last High School attended Community College(s) attended and dates College/University attended and dates Trade School attended and dates ROP Classes taken Additional information Any special training received (Military?) Any special skills? What machines can you operate Extracurricular Activities Hobbies/Outside interests Professional Organizations Honors/Awards About this job Type of work desired Salary range (can be weekly, hourly, etc) Date available to start Days available to work Hours available to work Shift preference (if offered) Military Service Branch of service Date entered Date Discharged Highest rank Special training Duties Previous Work Last company you worked for Address Phone number Dates employed Supervisor Reason for leaving Rate of pay