Application

Employee Application

First Name

Date of Birth

Phone

Available Start Date

Last Name

Email Address

Address

Position

Please Check Applicable Fields:

U.S. Citizen

Worked At RFC previously

Convicted a felony previously

If you have ever convicted a felony, please explain:

Desired Salary

If not a U.S. Citizen, are you authorized to work in the U.S.?

If you have worked at RFC previously, please indicate when:

Education

High School

High School Start Date

High School End Date

College

Degree

College Start Date

College End Date

Any other eductaion and/or training?

References

Name

Company

Reference 1 phone number

Email Address

Relationship

Name

Company

Reference 2 phone number

Email Address

Relationship

Name

Company

Reference 3 phone number

Email Address

Relationship

Employment History

Company

Address

Job Title

Responsibilities

Reason for Leaving

Company phone number

Supervisor

Salary

Start Date

End Date

Company

Address

Job Title

Responsibilities

Reason for Leaving

Company

Address

Job Title

Responsibilities

Reason for Leaving

Company phone number

Supervisor

Salary

Start Date

End Date

Company phone number

Supervisor

Salary

Start Date

End Date

Military Service

Branch

Rank at Discharge

Type of Discharge

Start Date

End Date

If other than honorable, please explain

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Your Signature

Thanks for submitting!