Please fill out all fields.
We are an equal opportunity employer, dedicated to a policy of non-discrimination
in employment on any basis, including race, creed, color, age, sex, religion or national origin.

Reference number:
PERSONAL INFORMATION:
NAME:
HOME PHONE #:
CURRENT ADDRESS:
CELL PHONE #:
NAME AND ADDRESS OF CLOSEST RELATIVE:
PHONE # OF RELATIVE:
Are you legally able to be employed in the U.S? Yes No
CAR COLOR :
EMAIL ADDRESS:
CAR:


POSITION(S) DESIRED:
MANAGEMENT TRAINEE
ASSISTANT SALES MANAGER
NEW ACCOUNT MANAGER
ENTRY LEVEL
RECEPTIONIST
SPOKESPERSON
PROMOTIONS
VIDEO SPOKESPERSON
DATE YOU CAN START :
SALARY DESIRED:
ARE YOU EMPLOYED NOW?         Yes No
IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?      Yes No N/A
HAVE YOU EVER APPLIED TO THIS COMPANY BEFORE?      Yes No
REFERRED BY:
HOW DID YOU HEAR ABOUT JOB?:


EDUCATION:
NAME & LOCATION OF SCHOOL SELECT LAST YR COMPLETED DID YOU GRADUATE? SUBJECTS STUDIED & DEGREES RECEIVED
GRAMMAR SCHOOL: N/A N/A N/A
HIGH SCHOOL:
COLLEGE:
TRADE, BUSINESS OR CORRESPONDENCE SCHOOL:
SUBJECTS OF SPECIAL STUDY OR RESEARCH WORK:
WHAT FOREIGN LANGUAGE(S) DO YOU SPEAK FLUENTLY?
HOBBIES & ACTIVITIES (OTHER THAN RELIGION) I.E. CIVIC, ATHLETIC, ETC:


PLEASE EXCLUDE ORGANIZATIONS THE NAME OR CHARACTER OF WHICH INDICATE THE RACE, CREED, COLOR OR NATIONAL ORIGIN OF MEMBERS


FORMER EMPLOYERS:
DATE, MONTH, YEAR NAME & ADDRESS OF EMPLOYER SALARY POSITION REASON FOR LEAVING
FROM:
TO:
FROM:
TO:
FROM:
TO:
FROM:
TO:


REFERENCES:
NAME PHONE NUMBER BUSINESS YEARS ACQUAINTED


PHYSICAL RECORD:
DO YOU HAVE ANY PHYSICAL CONDITIONS WHICH MAY LIMIT YOUR ABILITY TO PERFORM THE JOB APPLIED FOR?
IN CASE OF EMERGENCY, PLEASE NOTIFY:

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTINUED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR IS CAUSE FOR DISMISSAL. FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT ANY PREVIOUS NOTICE.
I AGREE TO RECEIVE PROMOTIONAL INFORMATION ABOUT VISION MARKETING SERVICES