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Apollo University
 
APOLLO APPLICATION FOR EMPLOYMENT

It is our policy to provide equal employment opportunities and will not unlawfully consider any factors of race, age, creed, national origin, gender or disability with regard to workers or applicants.

To be considered for employment, all applicants must fill out this form completely. This application will be given every consideration, but it's receipt does not imply that the applicant will be employed by our company. This form becomes a part of your permanent employment record if you are hired. This application is only valid for 30 days.

Personal Information .01
Name (including first, middle and last names) Address (Required)
City (Required) State (Required)
Zip Code (Required) Home Phone (include area code)
Drivers License Number: E-Mail Address:
Are you over 18?
no
 
If you have lived at above address less than 12 months, list previous address below
Address (Required) City (Required)
State (Required) Zip Code (Required)
   
Have you worked or do you have work experience or education under a different name?
no
 
 
Can you supply documentation of your identity and authorization to work in the U.S.?
no
 
   
Have you ever been convicted or plead guilty or not contest to any criminal offense? (Criminal convictions are not an automatic ban from employment but will only be considered in relation to specific job requirements.)
no
 
If you answered yes to the above question, please describe the offense, location, date and disposition and any other circumstances or rehabilitation below.
 
Work Interest .02
Position Applied For Type of employment
part time other
Shift Preferred Minimum Salary
Earliest Available Date (m/d/y)  
 
 
Have you ever filed an application with our company before?
no
 
If yes when did you apply? (m/d/y) If yes where did you apply?
   
Have you ever been interviewed by our company before?
no
If yes when did you interview? (m/d/y) If yes where did you interview?
 
Shift & hours you can work  
1st Shift 2nd Shift 3rd Shift
   
Would you accept part time work? Would you accept temporary work?
no
no
 
Please indicate the hours you would be willing to work whenever scheduled or requested
Overtime? Weekends?
no
no
Holidays? Rotation?
no
no
   
Do you have your own reliable transportation?
no
 
   
If the position requires travel, do you have a valid drivers license?
no
 
If yes, what is your DL#? If yes, what state is your license in?
   
Are you currently employed? May we inquire of your current employer?
no
no
 
Work History .03
List the names of employers in consecutive order with present or last employer listed first. Account for all periods, including military services. If self-employed, give firm name and supply additional references. Please give both month and year.
 
Employer 1  
Name of Employer Address
City State
Zip Code Telephone (include area code)
Your Title Nature of Business
Name/Title of Supervisor Reason for Leaving
Duties  
   
Employment Starting Date (m/y) Employment Ending Date (m/y)
   
Starting Pay Ending Pay
 
Employer 2  
Name of Employer Address
City State
Zip Code Telephone (include area code)
Your Title Nature of Business
Name/Title of Supervisor Reason for Leaving
Duties  
   
Employment Starting Date (m/y) Employment Ending Date (m/y)
   
Starting Pay Ending Pay
   
Employer 3  
Name of Employer Address
City State
Zip Code Telephone (include area code)
Your Title Nature of Business
Name/Title of Supervisor Reason for Leaving
Duties  
   
Employment Starting Date (m/y) Employment Ending Date (m/y)
   
Starting Pay Ending Pay
   
Employer 4  
Name of Employer Address
City State
Zip Code Telephone (include area code)
Your Title Nature of Business
Name/Title of Supervisor Reason for Leaving
Duties  
   
Employment Starting Date (m/y) Employment Ending Date (m/y)
   
Starting Pay Ending Pay
 
Please explain all periods of unemployment below
 
Have you ever been disciplined associated with theft?
no
 
If yes, please Explain  
   
Have you ever been terminated from employment?
no
 
If yes, please Explain  
   
Have you ever served in the military? If yes, what branch of service
no
If yes, date entered service (m/y) If yes, date separated from service (m/y)
Final Rank Are you a member of a reserve organization? (list branch below)
Education History .04
High School  
Name of School Address
City State
Zip Code Number of Years
Graduated Type of Diploma
no
Major/Area of Study  
 
   
College/University 1  
Name of School Address
City State