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APPLICANT INFORMATION

Name (first and last)*

Email Address*

Phone Number*

Street Address*

City, State, Zip*

SCREENING QUESTIONS

Which position are you applying for?*
CPA Firm Audit/Tax ManagerSenior Audit AccountantSenior Tax AccountantStaff Accountant

How did you hear about us?*

Have you ever applied for employment with us before?*
YesNo

Are you legally eligible for employment in the United States?*
YesNo

Apart from absence for religious observance, are you available for full-time work?*
YesNo

If you answered "No" to the previous question, what hours can you work?

When will you be available to begin work?*

Will you work overtime if asked?*
YesNo

What is your expected pay?*

Other special training or skills (languages, machine operation, etc.)

EDUCATION

Please fill in each field. Information for only 1 school is required.

School/University #1

Name and Location of School*

Course of Study*

Number of Years Completed*

Did you graduate?*
YesNo

Degree or Diploma Received*

School/University #2

Name and Location of School

Course of Study

Number of Years Completed

Did you graduate?
YesNo

Degree or Diploma Received

EMPLOYMENT

Please give accurate, complete full time and part-time employment record. Start with your present or most recent employer.

Previous Employer #1

Company Name*

Job Title and Description of Work*

Name of Supervisor*

Phone Number*

Start Date*

End Date

Reason for Leaving*

Previous Employer #2

Company Name

Job Title and Description of Work

Name of Supervisor

Phone Number

Start Date

End Date

Reason for Leaving

Previous Employer #3

Company Name

Job Title and Description of Work

Name of Supervisor

Phone Number

Start Date

End Date

Reason for Leaving

Contacting employers
I understand that you may contact the employers listed above unless otherwise indicated below.
Accept

Please let us know which employers you do not want us to contact (if any) and a brief reason why.

ACCEPTANCE AND SIGNATURE

The information provided in this Application for Employment is true, correct and complete. If you employ me, any misstatement of omission of fact on this application may result in my dismissal.*
I understand that acceptance of an offer of employment creates no obligation upon you, the employer, to continue to employ me in the future.*
Accept

Typing your name here will serve as a signature verifying the above statements.*

Today's Date*