Are you a U.S. citizen?
If no, do you have a legal right and necessary documents to work in the U.S.?
(Identity and employment of all new hires will be verified as required by the Immigration and Control Act of 1968.)
Were you ever discharged by any employer?
If yes, give the name of the company(ies). Separate names with commas.
Reasons for discharge.
Have you ever been convicted of a crime, excluding minor traffic violations, or are you currently subject to deferred adjudication? Yes No
If yes, please explain the offense and final disposition, and state of occurence.
List employment starting with your most recent position. Please indicate if you were employed under a different name.
May we contact your present employer? Yes
Do not list relatives or previous employers.
When you are finished, please ask your teacher to look at this form. Thanks.