712-332-7323 | 800-433-1861
Smith's RV - Okoboji, Iowa
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Employment Application
Name:   |   Social Security No.
  First Middle Last  
 
Present Address:
  No. Street City State Zip  
 
Previous Address:
  No. Street City State Zip  
 
Telephone Number: () | Email Address:
 
Do you have a legal right to be employed in the United States?  
 
Are you over the age of 18?  
 
COMPANY EXPERIENCE
 
Have you worked for this company before?   Dates: to
  From: Month/ Year   To: Month/ Year  
 
Where?   |   Rate of Pay   |   Position
 
Reason for leaving:
 
GENERAL
 
Are you currently employed?   If not, when was your last day employed?
 
Position applying for  
 
Who referred you?   |   Rate of pay expected
 
EDUCATIONAL BACKGROUND
 
Type of School Name & City Did You Graduate? Course or Major
College
Technical School
High School
Other
 
LIST ALL PRESENT AND PAST EMPLOYMENT, BEGINNING WITH MOST RECENT
 
  1  
Company Name Dates Worked  Position(s) Held
From To
Address City State Zip Duties / Responsibilities
Phone Number
() Reason for Leaving
Type of Business
Name of Supervisor
Base
Gross
Income		 Starting Wage Per Ending Per   Bonus Amount Received  Work Hours
$ | $   Incentives | $  
 
  2  
Company Name Dates Worked  Position(s) Held
From To
Address City State Zip Duties / Responsibilities
Phone Number
( ) Reason for Leaving
Type of Business
Name of Supervisor
Base
Gross
Income		 Starting Wage Per Ending Per   Bonus Amount Received  Work Hours
$ | $   Incentives | $  
 
  3  
Company Name Dates Worked  Position(s) Held
From To
Address City State Zip Duties / Responsibilities
Phone Number
( ) Reason for Leaving
Type of Business
Name of Supervisor
Base
Gross
Income		 Starting Wage Per Ending Per   Bonus Amount Received  Work Hours
$ | $   Incentives | $  
 
  4  
Company Name Dates Worked  Position(s) Held
From To
Address City State Zip Duties / Responsibilities
Phone Number
( ) Reason for Leaving
Type of Business
Name of Supervisor
Base
Gross
Income		 Starting Wage Per Ending Per   Bonus Amount Received  Work Hours
$ | $   Incentives | $  
 
 
WORK REFERENCES
 
Name Years Known Relationship & Title
Company
Work Address City State Home Phone Work Phone
 
Name Years Known Relationship & Title
Company
Work Address City State Home Phone Work Phone
 
Name Years Known Relationship & Title
Company
Work Address City State Home Phone Work Phone
 
Name Years Known Relationship & Title
Company
Work Address City State Home Phone Work Phone
 
 
SPECIAL SKILLS
 
Please check the skills for which you have received training:
 
Word Processing:  WPM
Data Entry  
10-Key Calculator  
Software Packages:
Programming Languages:
Database:
Manufacturing Equipment:
Other::
 
 
Monaco Doubletree RV Big Country by Heartland BigHorn by Heartland Salem by Forest River
Cyclone by Heartland Sundance by Heartland r-pod by Forest River Cargo Express Rice Trailers
  712-332-7323
1000 Lake Shore Drive
Okoboji, Iowa 51355 		800-433-1861
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