Black Bull Fireworks
 
Employment Application

Full Name: Email:
Address: City:
State: Zip Code:
Phone: Date Avail:
Social Security No. Salary?
If you are under 18 years of age, can you provide a work permit? Yes No
If no, please explain:
Have you ever worked for this company?
Yes No
If yes, when?
Are you legally allowed to work in the United States? Yes No
Type of employment desired: Full-Time Part-Time
Answering yes to the following question does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Have you ever pleaded guilty, no contest or been convicted of a crime? Yes No
If yes, please give dates and details:
Driver's license No. (if applicable): State:
Please summarize your special skills or qualifications:

Previous Employment (please begin with most recent positions)
Employment Dates: Position Held:
Company Name: Address:
City: State:
Zip: Phone:
Supervisior: Title:
Job Responsibilities:
Starting Salary: Starting Title:
Ending Salary: Ending Title:
Reason for leaving:
 
Employment Dates: Position Held:
Company Name: Address:
City: State:
Zip: Phone:
Supervisior: Title:
Job Responsibilities:
Starting Salary: Starting Title:
Ending Salary: Ending Title:
Reason for leaving:
 
Employment Dates: Position Held:
Company Name: Address:
City: State:
Zip: Phone:
Supervisior: Title:
Job Responsibilities:
Starting Salary: Starting Title:
Ending Salary: Ending Title:
Reason for leaving:
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application. In the event I am employed, I understand that false or misleading information given in my application or interview may be reason for discharge.
I accept these conditions (mandatory) Yes