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Pre-Employment Questionnaire Form

This document is a pre-employment questionnaire for a potential job applicant. It requests basic personal information like name, address, contact details, as well as availability and authorization to work. It also asks about the applicant's desired position and salary, current employment status, previous experience with the company, education history, special skills, and includes a signature line. The purpose is to collect relevant background information from applicants as part of the hiring process for an equal opportunity employer.

Uploaded by

Stiffen Rufila
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
123 views1 page

Pre-Employment Questionnaire Form

This document is a pre-employment questionnaire for a potential job applicant. It requests basic personal information like name, address, contact details, as well as availability and authorization to work. It also asks about the applicant's desired position and salary, current employment status, previous experience with the company, education history, special skills, and includes a signature line. The purpose is to collect relevant background information from applicants as part of the hiring process for an equal opportunity employer.

Uploaded by

Stiffen Rufila
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PRE-EMPLOYMENT

QUESTIONNAIRE
AN EQUAL
OPPRTUNITY EMPLOYER
NAME (LAST NAME FIRST) SOCIAL SECURITY NUMBER

PRESENT ADDRESS APP. NO. CITY STATE ZIP

PERMANENT ADDRESS APP. NO. CITY STATE ZIP

PREVIOUS ADDRESS IF LESS THAN 3 YEARS APP. NO. CITY STATE ZIP

PHONE # CELL PHONE # ARE YOU 18 YEARS OR OLDER? ARE YOU LEGALLY AUTHORIZED
TO WORK IN THE US?
YES NO YES NO
EMAIL EMERGENCY NAME PHONE
CONTACT

DESIRED EMPLOYMENT
POSITION DATE YOU CAN START SALARY DESIRED

ARE YOU EMPLOYED NOW? IF SO, MAY WE INQUIRE


OF YOUR PRESENT EMPLOYER? YES NO

EVER APPLIED TO THIS COMPANY BEFORE? WHERE WHEN

YES NO
EVER WORKED FOR THIS COMPANY BEFORE WHERE WHEN

YES NO
REASON FOR LEAVING

NAME OF LAST SUPERVISOR AT THIS COMPANY

HOW DID YOU FIND OUT ABOUT THIS POSITION?

EMPLOYMENT AGENCY NEWSPAPER ADVERTISING FRIEND ONLINE AD

STAFF EMPLOYMENT OFFICE COLLEGE PLACEMENT SERVICE WALK IN OTHER

EDUCATION
NO. OF YEARS
SCHOOL LEVEL NAME AND LOCATION OF SCHOOL DID YOU GRADUATE SUBJECTS STUDIED
ATTENDED

HIGH SCHOOL

COLLEGE

TRADE, BUSINESS OR
CORRESPONDENCE
SCHOOL

GENERAL
SUBJECTS OF SPECIAL STUDY OR RESEARCH WORK

SPECIAL TRAINING, CERTIFICATIONS, LICENCES

SPECIAL SKILLS, FOREIGN LANGUAGES, ETC

SIGNATURE OF
APPLICANT:

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