Total Victory Outreach & Development
PO Box1166 Waldoboro ME 04572 207-542-7397
Employment Application
Date:_________________________ Position:_____________________________________
Name________________________________________________Cell Phone #___________________
Address____________________________________________________________________________
email____________________________________________________SS #_____________________
Last year of school completed: 9 10 11 12 College 1 2 3 4
Drivers license? Yes No Car? Yes No License #______________________State_____
Do you have valid CFPM? Yes No Certificate #_______________State________Exp:_________
What interests you MOST about this business ?
Desired rate of pay____________________ Why?________________________________________
Past Employment
Last Employer:____________________________________________Location:__________________
Employed from: _____________to:____________position/duties_____________________________
Name of Immediate Supervisor:_________________________________________________________
Supervisor's Tel. #:______________________________or email______________________________
Next to Last Employer:_________________________________________Location:______________
Employed from: _____________to:____________position/duties_____________________________
Name of Immediate Supervisor:_________________________________________________________
Supervisor's Tel. #:______________________________or email______________________________
Total Victory
Employment Application page 2
Pesonal References: (people who know your work habits well)
Reference # 1_________________________________________________
Phone #__________________________ relationship____________________________
Reference # 2_________________________________________________
Phone #__________________________ relationship____________________________
Reference # 3_________________________________________________
Phone #__________________________ relationship____________________________
I am interested in:
hourly employment management training investing in or starting my own business
Personal Assets
Everyone has special interests and talents. What special talents, abilities, hobbies or interests do you have that other people may not have? What makes you unique (don't be shy)
Feel free to add comments or questions on back. Thank you for applying to Total Victory
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