Dartmouth Printing - Employment Application

Employment eApplication
An Equal Opportunity Employer

Name
Street Address
City, State, Zip	,
Telephone #
E-mail

Position Applied for:
Are you 18 years or older?	Yes No
If no, can you provide a work permit?	Yes No
If hired, can you furnish proof that you are eligible to work in the United States?	Yes No
Shift you are willing to work	1st 2nd 3rd 4th rotation
Full-Time	Part-Time Seasonal

Education

Name, City and State of School

Did you graduate?

Degree Received

	Yes	No
High School
College
Graduate School
Business/Vocational School

Employment Record

1			From	To
Name of Company	Dates Employed	mm/yy
Address
Name of Supervisor	Starting Salary		Last Salary
Job Title
Reason for Leaving


2			From	To
Name of Company	Dates Employed	mm/yy
Address
Name of Supervisor	Starting Salary		Last Salary
Job Title
Reason for Leaving

3			From	To
Name of Company	Dates Employed	mm/yy
Address
Name of Supervisor	Starting Salary		Last Salary
Job Title
Reason for Leaving

Professional References


Name	Address	Telephone #	Occupation

Please describe any special skills, education, training, and job experience that would qualify you for a position at Dartmouth Printing.

In addition to this eApplication, you must complete Dartmouth Printing Employment Application prior to any final employment decision. You agree that if hired, your employment will be subject to all of Dartmouth Printing employment policies and terms and conditions of employment in effect.