Above All Employment Application Form Date: Name* Address* How long* Telephone If under 18, please list age Position applied for (1) and salary desired (2) (Be specific) Social Security No.* Days/hours available to work No Pref. Mon Tue Wed Thur Fri Sat Sun How many hours can you work weekly?* Can you work nights? Yes No Employment desired Full Time Only Part Time Only Full or Part time When available for work? Education* High School Name of School Location (Complete mailing address) Number of Years Completed Major & Degree College Name of College Location (Complete mailing address) Number of Years Completed Major & Degree Bus. or Trade School Name of School Location (Complete mailing address) Number of Years Completed Major & Degree Professional School Name of School Location (Complete mailing address) Number of Years Completed Major & Degree HAVE YOU EVER BEEN CONVICTED OF A CRIME? Yes No If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.