MY FACT SHEET                            Complete and carry with you on your job search

 

Applicant’s  Name (Last)                                             First                             Middle Initial

 

Social Security Number

                -          -

Mailing Address (Number)                                          Street   

 

Work Telephone Number

(             )

City                                                                               State                                Zip Code

 

Home Telephone Number

(             )

EDUCATION

Name of School

Location of School

Degree or Course of Study

Date Completed

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYMENT HISTORY – Begin with your most recent job.  List each job separately.

Job Title

Dates Worked From ______ To _______

Pay $ ______ Per _____

Name of Employer

Name of Supervisor

Address:
                                                                                  City                                   State           Zip Code          

Telephone Number  (         )

Reason for Leaving:

Duties Performed:

 

 

 

 

Job Title

Dates Worked From ______ To _______

Pay $ ______ Per _____

Name of Employer

Name of Supervisor

Address:
                                                                                  City                                    State           Zip Code          

Telephone Number  (         )

Reason for Leaving:

Duties Performed:

 

 

 

 

Job Title

Dates Worked From ______ To _______

Pay $ ______ Per _____

Name of Employer

Name of Supervisor

Address:
                                                                                  City                                     State          Zip Code          

Telephone Number  (         )

Reason for Leaving:

Duties Performed:

 

 

 

 

Job Title

Dates Worked From ______ To _______

Pay $ ______ Per _____

Name of Employer

Name of Supervisor

Address:
                                                                                   City                                     State         Zip Code          

Telephone Number  (         )

Reason for Leaving:

Duties Performed:

 

 

 

 

PERSONAL REFERENCES:  List the names of three references that employers may contact.

1)  Name

Telephone # (           )

Relationship (Teacher etc.)

Address:
                                                                                     City                                                 State              Zip Code

2)  Name

Telephone # (           )

Relationship (Teacher etc.)

Address:
                                                                                     City                                                 State              Zip Code

3)  Name

Telephone # (           )

Relationship (Teacher etc.)

Address:
                                                                                     City                                                 State              Zip Code