Employement Application

Name: First Middle Last Address: Street City State Zip

Phone: Cell:

Email: Date of Birth:

Postion Applying For: Are you currently employed?

Current Salary? Salary Desired?

Date you can start: Can you work weekends? yes or no

At your last job how many days did you miss in the last 6 months?

How many hours are you looking for?

What shifts can you work days, nights, weekends, days and weekends, nights and weekends or any?

Have you ever been fired or dismissed by a former employer?

If yes explain Have you ever been convicted of a felony? yes or no


Name & Location Did you graduate? Subjects Studied?
High School

List any job related skills:

Current and former employment: List the last four employers including your current employment. Most current first.

Name Job Title Start -End Dates Pay per Hour Reason for leaving


References: List 3 with phone numbers:

Name Phone Number Association


Tell us why you would like to work for Mega Tan?


Click here to


Thank you


<object classid="clsid:d27cdb6e-ae6d-11cf-96b8-444553540000"
width="766" height="1262" id="coffeexml" align="middle">
<param name="movie" value="application_form.swf"/>
<param name="quality" value="high" />
<param name="FlashVars" VALUE="xmlfile=application_form.xml&w=766&h=1262"/>
<param name="scale" value="noscale" />
<param name="salign" value="lt" />
<param name="bgcolor" value="#ffffff" />
<embed src="application_form.swf" FlashVars="xmlfile=application_form.xml&w=766&h=1262" quality="high" bgcolor="#ffffff" width="766" height="1262"
name="coffeexml" scale="noscale" salign="lt" align="middle" type="application/x-shockwave-flash"
pluginspage="http://www.macromedia.com/go/getflashplayer" />