Worksheet for compiling information likely to be requested on a job application
General information
Name
Complete mailing address including street, city, state and zip code
Home phone or message number including area code
Work phone including area code
Cell phone including area code
Education
High School
Name
Address including street, city, state and zip code
Years of attendance
Date of graduation or GED earned
College
Name
Address including street, city, state and zip code
Years attended
Degree or certificate earned
Grade point average
Technical and/or business school
Name
Address including street, city, state and zip code
Years attended
Degree or certificate earned
Grade point average
Special job-related
skills, training, current professional certifications and licenses, volunteer
work relevant to jobs you are likely to seek and other accomplishments.
Listing these on an application will make you stand out from other applicants. List any equipment and/or tools that you are able to use and any licenses you have. Also make sure to list any ability you have to speak and/or write other languages, if it is relevant to the job for which you are applying.
What type of work are you looking for? Part-time, Full-time, Shift or Temporary
Are there any specific work times that you know would not work for you? If so, you may want to note those.
Date your available for work. If you must give your current employer two weeks notice, write “two weeks notice”
Information about specific skills or qualifications
Office work
The following information will likely be required if you are applying for positions requiring typing ability or computer skills.
Typing speed/Words Per Minute (WPM)
List computer programs you are familiar with.
Transcription skills.
Other computer skills such as internet, desktop publishing, etc.
Positions requiring a driver’s license
Years of driving experience
Types of vehicles driven
Driver’s licenses number
State issues
Expiration date
Endorsements (if applicable)
Commercial driver’s license number
State issued
Expiration date
Endorsements
Were you involved in any accidents in the last three years.
If yes, how many?
Brief description of each accident. Indicate if any deaths or personal injury were involved.
Date of accident
Description
Have you ever had a driver’s license suspended, withdrawn, revoked or denied?
If yes, explain.
Do you have access to an insured vehicle?
Any convictions for traffic violations in the last three years?
If yes, describe violations other than parking tickets.
Date of violation
Description
Arrest/conviction record
Make sure to be truthful because not reporting can result in job termination if information that was not reported is later discovered. The information you report is generally considered only if the position applied for has particular security requirements or if the employer feels there is a bona fide occupational qualification inherent in the position which requires this information prior to hiring.
Have you been convicted of a felony in the last 7 years? Conviction will not necessarily disqualify an applicant from employment.
If yes, explain.
Do you have any criminal charges pending other than MINOR traffic violations? Pending charges are not an automatic bar to employment.
If yes, explain.
References. Character and professional.
Be prepared to provide names, current business addresses, and current phone numbers of up to four reference, professional or work related references, if possible, who can speak positively about you. Avoid using relatives. Clergy members, teachers, counselors, friends who are in business, and leaders of organizations in the community usually make good references. Other people to use for references include staff at places you have volunteered, teachers, and individuals you may help out such as neighbors. Be sure to ask for their permission before listing them and verify where they can be reached. Up to four references, professional or work related references if possible.
Reference number 1
Name
Occupation
Address including street, city, state and zip code
Phone number
Reference number 2
Name
Occupation
Address including street, city, state and zip code
Reference number 3
Name
Occupation
Address including street, city, state and zip code
Reference number 4
Name
Occupation
Address including street, city, state and zip code
Employment History
Begin with most recent job. List employer's name, current address and telephone number, supervisor, job title, dates of employment, salary, and reason for leaving. Describe your job duties clearly. Use action verbs. Concentrate on skills that will interest the employer. The job description can provide clues about important skills. Explain any gaps in your work history.
Employer’s name
Date employed
Address
Phone
Title of your position
Highest wage
Starting wage
Hours worked per week
Name of supervisor
Number of employees you surpervised
Primary duties
Reason for leaving or considering change
Next Employer’s name
Date employed
Address
Phone
Title of your position
Highest wage
Starting wage
Hours worked per week
Name of supervisor
Number of employees you surpervised
Primary duties
Reason for leaving or considering change
Next Employer’s name
Date employed
Address
Phone
Title of your position
Highest wage
Starting wage
Hours worked per week
Name of supervisor
Number of employees you surpervised
Primary duties
Reason for leaving or considering change
Additional Information that may be requested
Previous address
Reasons for gaps of 90 days or more in your work history other than school should be accounted for in another section or in your cover letter. Practice writing your responses here:
Facts regarding military service. Bring your discharge papers. You might be asked if you’re a veteran of any war. This is Affirmative Action program information, not discrimination.
Entry and discharge dates
Type of discharge
Branch
Occupational specialization
Special training received and dates
Last rank