Lazy A Ranch Texas
1059 Kurt Road Bellville, TX 77418
Name
Social Security Number
Present Address
Are you 18 years or older? YesNo
Phone
Cell Phone
Position
Date you can start
Salary desired
Are you employed now? YesNo
If so, may we inquire of your present employer? YesNo
School Level
Name and location of school
No. of years attended
Did you gradurate?
Subjects/fields studied
Grammar School
YesNo
High School
College
Trade, business or correspondence school
Subjects of special study or research
Sepcial training
Special skills, hobbies, interests
List below the last three employers, starting with the most recent: No friends
Name of present or last employer
Address
Starting date
Leaving date
Job title
Starting salary or hourly
Final salary or hourly salary
May we contact your supervisor? YesNo
Name of supervisor
Title
Description of work
Reason for leaving
Below, give the names of three principals or supervisors you have worked for. Please No personal references
No
Adress
Telephone
Years known
1
2
3
Branch of service
Discharge date
Rank
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information they may have, personal or otherwise, and release Lazy A Ranch ("company") from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company 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, unless it is in writing and signed by an authorized company representative.
Date:
Please write a brief note explaining why you would be an asset to our ranch, and why this would be a good move for you professionally.
