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The Washington Employment Application form is a crucial tool for job seekers in the state, designed to streamline the hiring process and ensure compliance with relevant laws. This generic application, provided by WorkSource Washington, is structured to gather essential information from applicants, including personal details, contact information, and employment history. It prompts candidates to indicate their eligibility to work in the U.S. and specify the type of employment they desire, whether part-time or full-time. Educational background is also a key section, where applicants can detail their high school education, college experience, and any relevant licenses or certifications. Additionally, the form encourages candidates to highlight their skills and military service, if applicable. Employers are reminded to check local regulations as they utilize this form, which is designed to uphold anti-discrimination laws. By filling out this application accurately and completely, job seekers can present themselves effectively to potential employers, paving the way for new opportunities.

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APPLICATION FOR EMPLOYMENT

This generic application is provided by WorkSource Washington. This form complies with federal and state laws against discrimination; however, employers using this form should check local ordinances. WorkSource Washington and Washington State Employment Security are not responsible for the misuse of information provided on this form. Provide all information requested by printing in ink or typing. Use the 'TAB' key to move through the document.

GENERAL INFORMATION

Name (Last)

(First)

 

 

(Middle Initial)

Home Telephone

 

 

 

 

 

(

)

-

 

 

 

 

 

 

Address (Mailing Address)

(City)

 

(State)

(Zip)

Other Telephone

 

 

 

 

 

(

)

-

 

 

 

 

 

 

 

 

E-Mail Address

 

Are you legally entitled to work in the U.S.?

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

POSITION

Position Or Type Of Employment Desired

 

 

Will Accept:

Shift:

 

 

 

Part-Time

Day

 

 

 

Full-Time

Swing

Are you able to perform the essential functions of the job you are applying for, with or

Temporary

Graveyard

without reasonable accommodation?

Yes

No

 

Rotating

 

 

 

 

Salary Desired

 

 

Date Available

 

 

 

 

 

 

EDUCATION AND TRAINING

High School Graduate Or General Education (GED) Test Passed? If no, list the highest grade completed

Yes No

College, Business School, Military (Most recent first)

 

Dates

Credits Earned

 

 

 

 

Quarterly or

 

 

 

Degree

Major

Name and Location

Attended

Other

Graduate

Semester

& Year

or Subject

 

Month/Year

(Specify)

 

 

Hours

 

 

 

 

 

 

 

 

 

 

 

From

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

 

 

Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Occupational License, Certificate or Registration

Number

 

Where Issued

 

Expiration Date

 

 

 

 

 

 

Occupational License, Certificate or Registration

Number

 

Where Issued

 

Expiration Date

 

 

 

 

 

 

Occupational License, Certificate or Registration

Number

 

Where Issued

 

Expiration Date

 

 

 

 

 

 

 

 

Languages Read, Written or Spoken Fluently Other Than English

VETERAN INFORMATION (Most recent)

Branch of Service

Date of Entry

Date of Discharge

SPECIAL SKILLS (List all pertinent skills and equipment that you can operate)

(Maximum 300 characters)

WORK EXPERIENCE (Most Recent First) (Include voluntary work and military experience)

Employer

Telephone Number (

)

-

From (Month/Year)

 

Address

 

 

 

 

 

 

Job Title

Number Employees Supervised

 

To (Month/Year)

 

Specific Duties (Maximum 350 characters)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hours Per Week

 

 

 

 

 

 

 

 

 

 

 

 

Last Salary

 

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor

 

 

 

 

 

 

 

 

Reason For Leaving

 

May We Contact This Employer?

Yes

No

 

 

 

 

 

 

Employer

Telephone Number (

)

-

From (Month/Year)

 

Address

 

 

 

 

 

 

Job Title

Number Employees Supervised

 

To (Month/Year)

 

 

 

 

 

 

 

 

Specific Duties (Maximum 350 characters)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hours Per Week

 

 

 

 

 

 

 

 

 

 

 

 

Last Salary

 

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor

 

 

 

 

 

 

 

 

Reason For Leaving

 

May We Contact This Employer?

Yes

No

 

 

 

 

 

 

Employer

Telephone Number (

)

-

From (Month/Year)

 

Address

 

 

 

 

 

 

Job Title

Number Employees Supervised

 

To (Month/Year)

 

Specific Duties (Maximum 350 characters)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hours Per Week

 

 

 

 

 

 

 

 

 

 

 

 

Last Salary

 

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor

 

 

 

 

 

 

 

 

Reason For Leaving

 

May We Contact This Employer?

Yes

No

 

 

 

 

 

 

Employer

Telephone Number (

)

-

From (Month/Year)

 

Address

 

 

 

 

 

 

Job Title

Number Employees Supervised

 

To (Month/Year)

 

Specific Duties (Maximum 350 characters)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hours Per Week

 

 

 

 

 

 

 

 

 

 

 

 

Last Salary

 

 

 

 

 

 

 

 

 

 

 

 

 

Supervisor

 

 

 

 

 

 

 

 

Reason For Leaving

 

May We Contact This Employer?

Yes

No

 

 

 

 

 

 

 

I certify the information contained in this application is true, correct, and complete. I understand that, if employed, false statements reported on this application may be considered sufficient cause for dismissal.

Signature of Applicant_________________________________________________________ Date________________

Interviewer’s Comments:

WorkSource Washington and Washington State Employment Security are equal opportunity employers and providers of employment and training services.

Auxiliary aids and services are available to persons with disabilities upon request.

Document Overview

Fact Name Description
Purpose This application is designed for individuals seeking employment through WorkSource Washington.
Compliance The form complies with federal and state anti-discrimination laws, ensuring fair hiring practices.
Local Ordinances Employers should verify any local laws that may affect the use of this application form.
Information Requirement Applicants must provide all requested information, either by typing or using ink.
Work Eligibility Applicants must confirm their legal right to work in the United States.
Veteran Information There is a section dedicated to veterans, allowing them to provide their branch of service and dates of entry and discharge.
Special Skills Applicants can list relevant skills and equipment they are able to operate, with a character limit of 300.
Work Experience Applicants are encouraged to include all work experience, including volunteer and military roles, in reverse chronological order.
Signature Requirement Applicants must certify that the information provided is accurate and complete by signing and dating the application.
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