Employment Application Personal Information Full Name Email Mobile Phone Number Date Available Desired Pay (per hour) Position Applied Employment Desired Full Time Part Time Seasonal Employment Eligibility Are you legally eligible to work in the United States? Yes No Have you ever worked for Cruz In before Yes No From To Have you ever been convicted of a felony? Yes No If yes, please explain Education High School/GED Institution Name City State From To Graduate? Yes No College Institution Name City State From To Graduate? Yes No Degree Other Education Institution Name City State From To Degree/Certificate Previous Employment Employer #1 Employer Name Street Address City State Supervisor Name Supervisor Phone Supervisor Email Start Pay (per hour) End Pay Job Title Responsibilities From To Reason For Leaving Employer #2 Employer Name Street Address City State Supervisor Name Supervisor Phone Supervisor Email Start Pay (per hour) End Pay Job Title Responsibilities From To Reason For Leaving References PROFESSIONAL ONLY (No Family) Reference #1 Name Relationship Years Known Company Name Job Title Email Phone Reference #2 Name Relationship Years Known Company Name Job Title Email Phone Military Service Are you a veteran? Yes No From To Branch Army Navy Coast Guard Marine Corps Air Force Space Force National Guard Rank at Discharge If not honorable, please explain: Background Check Consent ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK? Yes No DisclaimerApplicant understands that this is an Equal Opportunity Employer and is committed to excellence through diversity. To ensure this application is acceptable, please print or type with the application being fully completed for it to be considered. Please complete each section EVEN IF you decide to attach a resume. By signing below I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated. I understand. Signature Date Send
