TreadMasters.com - Treadmills-Elliptical Sales, Service & Parts, and Preventive Maintenance- TreadMasters Sales & Service.

Military Service

Rank of Discharge:

Type of Discharge:

If other than honorable, explain:

Employment

Phone:

( )

E-mail Address:

Date Available:

Social Security No.:

Desired Salary

Position Applied For:

Are you a citizen of the United States ?	Yes	No	If no, are you authorized to work in the U.S. ?	Yes	No

Have you ever worked for this company?	Yes	No	If yes, when?

Have you ever been convicted of a felony?	Yes	No

If yes, explain:

References
Please list three professional references.
Full Name:	Relationship:
Company:		Phone:	( )
Address:

Full Name:	Relationship:
Company:		Phone:	( )
Address:

Full Name:	Relationship:
Company:		Phone:	( )
Address:

Previous Employment
Company:		Phone:		( )
Address:		Supervisor :
Job Title:	Starting Salary:	$		Ending Salary:	$
Responsibilities:
From:	To:			Reason For Leaving:
May we contact your previous supervisor for a reference?		Yes	No


Company:		Phone:		( )
Address:		Supervisor :
Job Title:	Starting Salary:	$		Ending Salary:	$
Responsibilities:
From:	To:			Reason For Leaving:
May we contact your previous supervisor for a reference?		Yes	No


Company:		Phone:		( )
Address:		Supervisor :
Job Title:	Starting Salary:	$		Ending Salary:	$
Responsibilities:
From:	To:			Reason For Leaving:
May we contact your previous supervisor for a reference?		Yes	No

Disclaimer and Signature

If this application leads to employment, I understand that false of misleading information in my application or interview may result in my release.

By checking this box I certify that my answers are true and complete to the best of my knowledge.

Date: