Clerical Application

  • Personal Information

  • Other addresses you have lived in for the past 3 years
  • Other addresses you have lived in for the past 3 years
  • Education

  • Physical History

  • Clerical Experience

  • Add a new row
  • Indicate training and experience in the following when applicable
  • SoftwareYears of Experience 
    Add a new row
  • TypeYears of Experience 
    Add a new row
  • Employment History

    Start with last or current position, including military experience, and work back.
  • Enter the position held
  • Month/Year
  • Month/Year
  • Enter the position held
  • Month/Year
  • Month/Year
  • Enter the position held
  • Month/Year
  • Month/Year
  • APPLICANT MUST READ AND SIGN

  • I certify that I have read and understood all of this employment application. It is agreed and understood that the employer may investigate my background to ascertain any and all information of concern to my employment history, whether same is of record or not, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information.

    I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks, which are pertinent to the job. I also understand that if offered a job, it may be conditional on the results of a physical examination and drug test. I certify that I am genuine for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason. If hired, I agree to abide by all the rules and policies of the employer.

    This certifies that I completed this application, and that all entries on it and information in it are true and complete to the best of my knowledge.

  • Type in your signature
  • Enter the sign date