Contra Costa County Ofce of Education 15
Job Application
This may be the most important form you complete. It is
used as a screening tool to limit the number of candidates to
be interviewed.
Tips for filling out your application:
• Create a master application to bring with you when
applying for jobs
• Bring your master application, résumé and list of
references with you to help you fill out the application
• Read through the entire application before you start to
fill it out
• Always print in blue or black ink, or type
• Be neat and clear
• Answer all questions or insert N/A if not applicable
• List jobs by most recent job first
• Concentrate on the skills that fit the particular job
• Before handing it in, read through all your answers
Develop a list of references. Think about parents of friends,
neighbors, teachers, past employers, and any other adults
who can give you a character or work reference. Be sure to
get permission from a potential reference before using him/
her as a reference.
Sample Job Application
Personal Information:
First Name: Susan Middle: Ann Last Name: Warren _
Street Address: 1234 Main Street, Apt. #4 City: Concord State: CA Zip: 94518__
Position/Availability:
Position applied for: Office clerk ___________________________
Days/Hours available: Sun. _ Mon. X Tues. X Wed. X Th. X Fri. X Sat. X
Hours available: 8:00 a.m. to 5:00 p.m. Date available to start: 06/21/2015
Education:
Name of School: Mt. Diablo High School Date Graduated: 06/15/2015
Skills and Qualifications: Type 40 words per minute. Basic understanding of Windows,
Microsoft Office, Internet and e-mail. Organized, self-motivated, creative and resourceful.
Work well with people, outgoing and friendly.
Employment History:
Present or Last Position: Clerk Employer: Goodwill Industries
Address: 990 Contra Costa Blvd., Pleasant Hill, CA Phone Number: 925-555-1111
From: 06/14/ 2014 To: 09/15/ 2014 Salary: $9.00/hr.
Responsibilities: Greeted customers, cashiered, accepted donations from the public and
maintained inventory spreadsheets.
Reason for leaving: Summer position
References:
Ms. Mary White 925-555-1112 Store Manager
Mr. William Jones 925-555-0909 Leadership Teacher
Mr. Joseph Brown 925-555-0910 Computer Teacher
Signature: Susan Ann Warren Date: 6/20/2015 __________________