Many employers require all applicants, regardless of the job they apply for, to complete a job application form. This way the employer will have consistent data on file for all prospective applicants. 

Print, practice filling out this job application form, and use it as a guide when completing applications for employment. Then, review more job applications and information on applying for jobs.

Job Application Form

Instructions: Print clearly in black or blue ink. Answer all questions. Sign and date the form. 

PERSONAL INFORMATION: 

First Name _____________________________

Middle Name ___________________________ 

Last Name _____________________________ 

Street Address _______________________________________________________ 

City, State, Zip Code _______________________________________________________ 

Phone Number (___)___________________________________ 

Are you eligible to work in the Nepal? Yes _______ No_______ 

Have you been convicted of or pleaded no contest to a felony within the last five years? Yes_______ No_______ 

If yes, please explain: _________________________________________ 

__________________________________________________________ 

POSITION/AVAILABILITY: 

Position Applied For ________________________________________ 

What date are you available to start work? ________________________________________ 

EDUCATION:

Name and Address Of School - Degree/Diploma - Graduation Date 

_________________________________________________________________ 

_________________________________________________________________ 

_________________________________________________________________ 

_________________________________________________________________ 

_________________________________________________________________ 

Skills and Qualifications: Licenses, Skills, Training, Awards 

_____________________________________________________________ 

_____________________________________________________________ 

EMPLOYMENT HISTORY:

Present Or Last Position: 

Employer: _____________________________________________________ 

Address:______________________________________________________

Supervisor: ____________________________________________________ 

Phone: _______________________________ 

Email: ________________________________ 

Position Title: _________________________ 

From: ______________ To: ______________ 

Responsibilities: ____________________________________________________ 

__________________________________________________________ 

Salary: _______________ 

Reason for Leaving: ____________________________________________ 

=========== 

Previous Position: 

Employer: _____________________________________________________ 

Address:______________________________________________________ 

Supervisor: ____________________________________________________ 

Phone: _______________________________ 

Email: ________________________________ 

Position Title: _________________________ 

From: ______________ To: ______________ 

Responsibilities: ___________________________________________________ 

__________________________________________________________ 

Salary: _______________ 

Reason for Leaving: ____________________________________________ 

May We Contact Your Present Employer? 

Yes _____ No _____ 

References: 

Name/Title Address Phone 

_________________________________________________________________ 

_________________________________________________________________ 

_________________________________________________________________ 

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above. 

Signature______________________________ 

Date__________________________________ 

[Source: Alison Doyle, About.com]