U.S. International Services, Ltd.

Employment

First Name
Middle Name
Last Name
Street Address
City
State
Zip
Phone #
Cell #
E-Mail Address
Best Time To Contact
Position Applying for or Desired
Are you currently Employed? Yes
May we contact your current Employer? Yes
Are you legally allowed to work in this country? Yes
Date Available
What is your desired salary range?
Are available to work	Full Time Part Time Temporary
Provide summary of Education
Provide Summary of work experience
List Licenses and Registrations
List skills
Personal references
Professional References

I certify that answers given herein are true, accurate, and complete.

I authorize all required investigation and verifications of information on this application as may be necessary in arriving at an employment decision.

In the event of employment, I understand that false or misleading information may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.