Brass Armadillo Application for Employment
Personal Information
Date:
Mall Location you are applying for:
Denver
Kansas City
Omaha
Phoenix
Des Moines
Name:
Street Address:
City:
State:
Zip:
What position are you applying?
Full Time
Part Time
How many hours per week do you want to work?
What date can you start?
Are you employed now?
Yes
No
If yes, may we inquire of your present employer?
Yes
No
Have you ever applied at The Brass Armadillo before?
Yes
No
Referred by:
Your E-mail address:
Your Phone Number:
Education
Grammar School:
Name and location of School:
No of yrs attended:
Did you Graduate?
Yes
No
Subjects Studied?
High School:
Name and location of School:
No of yrs attended:
Did you Graduate?
Yes
No
Subjects Studied?
College:
Name and location of School:
No of yrs attended:
Did you Graduate?
Yes
No
Subjects Studied?
Trade, Business or Correspondence School:
Name and location of School:
No of yrs attended:
Did you Graduate?
Yes
No
Subjects Studied?
Skills & Experience
Please list any special qualifications, training, education, skills or experience that you feel warrant consideration.
Please list any business equipment operating abilities you have which might be useful on the job for which you are applying.
Former Employers
List below last three employers, starting with the most recent one first.
1. Date, Month/ Year:  From
To
Name & Address of Employer:
Salary:
Position:
Reason for Leaving:
2. Date, Month/ Year:  From
To
Name & Address of Employer:
Salary:
Position:
Reason for Leaving:
3. Date, Month/ Year:  From
To
Name & Address of Employer:
Salary:
Position:
Reason for Leaving:
References
Give the names of three persons not related to you, whom you have known at least one year.
1. Name:
Address:
Business:
Telephone:
2. Name:
Address:
Business:
Telephone:
3. Name:
Address:
Business:
Telephone: