Employment Application Applicant Information Full Name: Date: Address: Date Available: Position Applied for: What location are you applying to? Watford CityWilliston Resume (PDF/DOC): Are you a citizen of the United States?YesNo If no, are you authorized to work in the U.S.?YesNo Have you ever worked for this company?YesNo Have you ever been convicted of a felony?YesNo Availability Employment Preference: Full-TimePart-Time Preferred Shift: DaysEvenings Day From To Sunday AMPM AMPM Monday AMPM AMPM Tuesday AMPM AMPM Wednesday AMPM AMPM Thursday AMPM AMPM Friday AMPM AMPM Saturday AMPM AMPM Education From*: To*: Did you graduate?YesNo From: To: Did you graduate?YesNo From: To: Did you graduate?YesNo References Please list three professional references Previous Employment From: To: May we contact your previous supervisor for a reference?YesNo From: To: May we contact your previous supervisor for a reference?YesNo From: To: May we contact your previous supervisor for a reference?YesNo Military Service From: To: Disclaimer and Signature I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I agree and accept.