Management

Employment Application

This information will not be the only basis for hiring decisions. You are not required to furnish any information that is prohibitedby federal, state or local law.

Application Date

PERSONAL INFORMATION

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Home Phone

Cell Phone

Position Applying For

Starting Earnings Expected

Employment Desired

Full-time Part-time Either

Date You Can Start

Hours Available?

Are You Employed Now?

Yes No

Referred to us by:

Do You Have Dependable Transportation?

Yes No

Have You Applied With Quik Print Before?

Yes No

When and Where?

BUSINESS EXPERIENCE Please start with your most recent position.

Company Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Type Of Business

Your Title/Position

Start Date

End Date

I Am Currently Employed At This Company

Starting Annual Earnings $

Please include bonuses, commissions and other income

Ending Annual Earnings $

Please include bonuses, commissions and other income

Supervisor Name

First Name

Last Name

Supervisor Title

How Do You Think This Supervisor Would Rate Your Overall Performance?

What Did/Do You Like Most About Your Job?

What Did/Do You Like Least About Your Job?

What Were/Are Your Key Responsibilities and Accountabilities?

What Were Your Major Successes and Accomplishments?

What Were Mistakes or Failures?

If You Are Leaving (Or Have Already Left) This Position, Was The Reason 100% Yours?

Yes No

Please Explain The Reason For Leaving:

May We Contact This Employer?

Yes No

Do You Have Another Employer To Add?*

Yes No

BUSINESS EXPERIENCE (continued)

Company Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Type Of Business

Your Title/Position

Start Date

End Date

I Am Currently Employed At This Company

Starting Annual Earnings $

Please include bonuses, commissions and other income

Ending Annual Earnings $

Please include bonuses, commissions and other income

Supervisor Name

First Name

Last Name

Supervisor Title

How Do You Think This Supervisor Would Rate Your Overall Performance?

What Did/Do You Like Most About Your Job?

What Did/Do You Like Least About Your Job?

What Were/Are Your Key Responsibilities and Accountabilities?

What Were Your Major Successes and Accomplishments?

What Were Mistakes or Failures?

If You Are Leaving (Or Have Already Left) This Position, Was The Reason 100% Yours?

Yes No

Please Explain The Reason For Leaving:

May We Contact This Employer?

Yes No

Do You Have Another Employer To Add?*

Yes No

BUSINESS EXPERIENCE (continued)

Company Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Type Of Business

Your Title/Position

Start Date

End Date

I Am Currently Employed At This Company

Starting Annual Earnings $

Please include bonuses, commissions and other income

Ending Annual Earnings $

Please include bonuses, commissions and other income

Supervisor Name

First Name

Last Name

Supervisor Title

How Do You Think This Supervisor Would Rate Your Overall Performance?

What Did/Do You Like Most About Your Job?

What Did/Do You Like Least About Your Job?

What Were/Are Your Key Responsibilities and Accountabilities?

What Were Your Major Successes and Accomplishments?

What Were Mistakes or Failures?

If You Are Leaving (Or Have Already Left) This Position, Was The Reason 100% Yours?

Yes No

Please Explain The Reason For Leaving:

May We Contact This Employer?

Yes No

Do You Have Another Employer To Add?*

Yes No

BUSINESS EXPERIENCE (continued)

Company Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Type Of Business

Your Title/Position

Start Date

End Date

I Am Currently Employed At This Company

Starting Annual Earnings $

Please include bonuses, commissions and other income

Ending Annual Earnings $

Please include bonuses, commissions and other income

Supervisor Name

First Name

Last Name

Supervisor Title

How Do You Think This Supervisor Would Rate Your Overall Performance?

What Did/Do You Like Most About Your Job?

What Did/Do You Like Least About Your Job?

What Were/Are Your Key Responsibilities and Accountabilities?

What Were Your Major Successes and Accomplishments?

What Were Mistakes or Failures?

If You Are Leaving (Or Have Already Left) This Position, Was The Reason 100% Yours?

Yes No

Please Explain The Reason For Leaving:

May We Contact This Employer?

Yes No

Any Other Positions Held?*

Yes No

Other Positions Held

Company Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Your Title/Position

Supervisor Name

First Name

Last Name

Start Date

End Date

Starting Annual Earnings $

Ending Annual Earnings $

If You Are Leaving (Or Have Already Left) This Position, Was The Reason 100% Yours?

Yes No

Please Explain The Reason For Leaving:

May We Contact This Employer?

Yes No

Any Other Positions Held?*

Yes No

Other Positions Held (Continued)

Company Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Your Title/Position

Supervisor Name

First Name

Last Name

Start Date

End Date

Starting Annual Earnings $

Ending Annual Earnings $

If You Are Leaving (Or Have Already Left) This Position, Was The Reason 100% Yours?

Yes No

Please Explain The Reason For Leaving:

May We Contact This Employer?

Yes No

Any Other Positions Held?*

Yes No

Other Positions Held (Continued)

Company Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Your Title/Position

Supervisor Name

First Name

Last Name

Start Date

End Date

Starting Annual Earnings $

Ending Annual Earnings $

If You Are Leaving (Or Have Already Left) This Position, Was The Reason 100% Yours?

Yes No

Please Explain The Reason For Leaving:

May We Contact This Employer?

Yes No

Any Other Positions Held?*

Yes No

Other Positions Held (Continued)

Company Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Your Title/Position

Supervisor Name

First Name

Last Name

Start Date

End Date

Starting Annual Earnings $

Ending Annual Earnings $

If You Are Leaving (Or Have Already Left) This Position, Was The Reason 100% Yours?

Yes No

Please Explain The Reason For Leaving:

May We Contact This Employer?

Yes No

MILITARY EXPERIENCE

Have You Been Or Are You In The Military?*

Yes No

Branch

Date Entered

Date Discharged

Highest Rank or Grade

Terminal Rank or Grade

EDUCATION

High School

Name of High School

City and State

Did You Earn A High School Diploma or Equivalent?*

Yes No

Approximate Number in Graduating Class

Rank From The Top

Final GPA

GPA Scale (A=)

Extracurricular Activities

Offices, Honors and Awards

Part Time Summer Work

EDUCATION (Continued)

College/University/Post Graduate/Technical School

College/University Attended

City and State

From

Month and Year

Degree

Major

Grade Point Average

Total Credit Hours

Extra Curricular Activities, Honors and Awards

Any Additional Colleges, Universities or Technical Schools?*

Yes No

EDUCATION (Continued)

College/University/Post Graduate/Technical School

College/University Attended

City and State

From

Month and Year

Degree

Major

Grade Point Average

Total Credit Hours

Extra Curricular Activities, Honors and Awards

Any Additional Colleges, Universities or Technical Schools?*

Yes No

EDUCATION (Continued)

College/University/Post Graduate/Technical School

College/University Attended

City and State

From

Month and Year

Degree

Major

Grade Point Average

Total Credit Hours

Extra Curricular Activities, Honors and Awards

EDUCATION (Continued)

What Undergraduate Subjects Did You Like Most? Why?

What Undergraduate Subjects Did You Like Least? Why?

How Was Your Education Financed?

Part Time and Summer Work

Other Courses, Seminars or Studies

QUALIFICATIONS

Please List Membership In Professional Or Job-Relevant Organizations.

You May Exclude Groups That Indicate Race, Color, Religion, National Origin, Disability Or Other Protected Status.

Please List Publications, Patents, Inventions, Professional Licenses Or Additional Special Honors Or Awards

What Qualifications, Abilities and Strong Points Will Help You Succeed In This Job?

Please Indicate What You Think The Average Rating Would Be By All The Managers You've Had In The Past 5 Years:

Judgment & Decision Making

Resourcefulness & Initiative

Drive & Energy

Team Player

Likeability

Leadership

Career Needs & Expectations

What Are Your Career Objectives?

Please Describe The Perfect Next Job For You

Other Information

Do You Have The Legal Right To Work For Any Employer In The United States?*

Yes No

Have You Ever Been Convicted Of A Felony?*

Yes No

List Any Defects In Speech, Hearing or Vision

In Case Of Emergency Please Notify:

First Name

Last Name

Phone

Relationship

References

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Occupation

Years Known

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Occupation

Years Known

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Occupation

Years Known

Are You Willing To Arrange Personal Reference Calls With Managers And Others You Have Worked With In The Past?*

Yes No

I afﬁrm that the information provided by me on this application is true and complete. I understand and agree that the provision of false information or the omission of signiﬁcant information is sufﬁcient reason for the rejection of my application or termination of my employment.
I authorize investigation into all statements I have made on this application as may be necessary for reaching an employment decision. I hereby agree to hold the Company harmless for any action it may take with respect to this application based upon the information provided to it by these references.
If employed, in consideration of said employment, I agree to conform to the rules and regulations of the Company and further agree that my employment can be terminated, with or without cause, at any time, either by me or the Company. I understand that no employee or representative of the Company, other than the President, Vice President, or Area Manager has any authority to enter into any agreement for employment for any speciﬁed period of time, or to make any agreement contrary to the foregoing.

Name*

First Name

Middle Name

Last Name

Date

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