PRE-EMPLOYMENT QUESTIONAIRE
EQUAL OPPORTUNITY EMPLOYER
PERSONAL INFORMATION
DATE: 20/09/2016
EMPLOYMENT DESIRED
POSITION: SECRECTARY
ARE YOU
EMPLOYED
YES
ZIP CODE
STATE
ZIP CODE
SALARY DESIRED
$300
V NO
COLLEGE
STATE
EDUCATION HISTORY
HIGH SCHOOL
CITY
Binh Duong
CITY
Binh Duong
REFERRED BY
YEAR
ATTENDED
DID YOU
GRADUATE
2005-2009
Yes
Yes
TRADE,BUSINESS
N/A
OR OTHER SCHOOL
N/A
YES
Yes
N/A
SUBJECTS
STUDIEO
Marketing
N/A
GENERAL INFORMATION
SUBJECTS OF SPECIAL STUDY/RESEACH
WORK OR SPECIAL TRAINING/SKILLS
N/A
RANK N/A
FORMER EMPLOYERS (LIST BELOW LAST FOUR EMPLOYERS, MOST RECENT FIRST)
DATE
NAME & ADDRESS
REASON FOR
SALARY
POSITION
MONTH AND YEAR
OF EMPLOYER
LEAVING
FORM
TO
FORM
TO
FORM
TO
FORM
TO
REFERENCES GIVE BELOW THE NAME OF THREE PRESON NOT RELATED TO YOU HAVE KNOWN AT
LEAST YEAR
NAME
ADDRESS
BUSINESS
YEAR KNOWN
AUTHORIZATION
I certify that the facts contained in this application are true and complete to the best of my knowledge and
understand that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to
give you any and all information concerning my previous employment and any pertinent information they may
have, personal or ortherwise, and release the company from all liability for any damage thay my result form
utilization of such information.