Barker Services

Application for Employment

Please fill out the required fields below, and press submit at the bottom of this page to apply for the requested position. Once completed and submitted successfully, we will contact you as soon as possible. Thank you for your interest in a career with Barker Services.

REFERENCES *
GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.

Authorization *

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this applications hall be grounds for my dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized comapany representative.

Last Name: *	First Name: *	Social Security Number: (Ex: XXX-XX-XXXX) *
Present Address: *	City: *	State: *	Zip Code: *
Permanent Address:	City:	State:	Zip Code:
Phone Number: (Ex: (XXX) XXX-XXXX) *	Referred By:

Position: *	Date You Can Start: *	Salary Desired: *
Ever Applied to this Company Before? * Yes No	Where?	When?
Are You Employed? * Yes No	If So, May We Inquire Of Your Present Employer? Yes No

Name and Location of School	Years Attended	Did You Graduate?	Subjects Studied
Grammar School		Yes No
High School		Yes No
College		Yes No
Trade, Business or Correspondence School		Yes No

	Name	Address	Business	Years Known
1
2
3

Subjects of Special Study/Research Work or Special Training/Skills:
U.S. Military or Naval Service:	Rank: