IV. Licenses:

Please list all current licenses you possess that are relevant to the position you seek. A current valid license is a condition of employment where required.

Do you have a valid driver’s license (Class D auto)?
Yes ___ No ___
If yes, enter expiration date
Do you have a valid CDL license (Class A or B – Circle one)
Yes ___ No ___
If yes, enter expiration date
Do you have a valid Hydraulic license?
Yes ___ No ___
If yes, enter expiration date
What other valid licenses or certificates do you hold? (Job Related)

V. Office Skills (If applicable).

Please check the column that you feel best describes your knowledge:

Scroll horizontally to view all proficiency columns.
Skill Beginner Intermediate Advanced
Knowledge of Word Processing
Knowledge of Spreadsheets
Knowledge of Databases
Automated Accounting Systems
Bookkeeping knowledge
Transcription ability
Shorthand/Speedwriting Ability

VI. Special Skills:

Please list any other skills or abilities you feel are relevant:


VII. Employment History: (please do not write “see resume.”)

Please account for the last four positions you have held. Start with your present or last employer. You may include military service and any verifiable work performed as an intern or volunteer.

May we have permission to contact your present employer?
YES ___    NO ___
Employer
Address
Telephone
Title
Supervisor
Dates Worked
May we contact for reference?
Reason for Leaving
Description of primary duties:
Employer
Address
Telephone
Title
Supervisor
Dates Worked
May we contact for reference?
Reason for Leaving
Description of primary duties: