Careers Careers Directions: Answer all questions which are applicable. Please do not state "See Resume." Employment Application Personal Information First Name * Last Name * Middle Name Address * City * State * Zip Code * Phone * Day Phone (if different) Email Address * Employment Information Position for which you are applying Are you employed at the present time? Yes No Employer's Name Employer's Address How long have you been with this employer? Present Salary If offered a position, when can you report to work? 1. If hired can you show proof of your legal right to work in the U.S.? Yes No 2. Have you ever been dismissed, or asked to resign from any position? Yes No 3. Have you ever been convicted of a felony, or a misdemeanor which resulted in imprisonment? Yes No If yes to number 2 or 3, please explain Employment Experience Employer Name Employer Address Position(s) Held Start Date End Date Employer Name Employer Address Position(s) Held Start Date End Date Employer Name Employer Address Position(s) Held Start Date End Date Employer Name Employer Address Position(s) Held Start Date End Date Education High School Subjects Studied (if applicable) College Dates Attended Subjects Studied (if applicable) College Dates Attended Subjects Studied (if applicable) The following section is to be completed by applicant for OFFICE POSITION Please provide computer and software knowledge below Upload Files Uploaded files must be 2MB or less in size. Allowed file extensions are .doc, .docx, .pdf, and .txt. Resume Cover Letter Other How did you hear about us? How did you hear about us? Please select Please select Job Fair Radio Ad Fraza Employee Relative Friend Other If other, please specify If referred by a Fraza employee, please list their name I certify that all statements made herein and on the attached resume are true and correct to the best of my knowledge. I authorize investigation of all statements herein recorded. I release from liability all persons and organizations reporting information required by this application.