APPLICATION FOR EMPLOYMENT
Hellmuth+Bicknese Architects,LLC
7211 Manchester Ave.
St. Louis, Mo 63143
We consider applications for all positions without regard to race, color, religion, creed, gender, national origin,
age, disability, sexual orientation, citizenship status, genetic information, or any other legally protected status.
Position(s) Applied For Date of Application
How did you learn about Us?
Advertisement Relative Inquiry
Employment Agency Friend Other___________________________
Last Name First Name Middle Name
Address Number Street City State Zip Code
Telephone Number(s) Email Social Security Number (Voluntary)
Best time to contact you at home is: …………………………………………………………………………….……… ____:_____ AM/PM
If you are under 18 years of age, can you provide required
proof of your eligibility to work? ………………………………………………………………………………………….. Yes No
Have you ever filed an application with us before?................................................................... Yes No
If Yes, give date ______________
Have you ever been employed with us before?......................................................................... Yes No
If Yes, give date ______________
Do any of your friend or relatives, other than spouse, work here?........................................... Yes No
Are you currently employed?..................................................................................................... Yes No
May we contact your present employer?.................................................................................. Yes No
Are you lawfully authorized to work in the United States? …………………….…………………………….. Yes No
Date available for work ___/___/___ What is your desired salary range? _________________________
1 2 3
Are you available to work: Full-Time (please indicate 1 2 shift)
Part-Time (please indicate Mornings Afternoon Evenings)
Temporary (please indicate date available __/__/___-__/__/___
Are you currently on “lay-off” status and subject to recall?.................................................... Yes No
Can you travel if a job requires it?............................................................................................ Yes No
What bank do you institute with?...........................................................................................
We are an Equal Opportunity Employer
EDUCATION
Name and Address Course of Study Number of Years Diploma
of School Completed Degree
Elementary
School
High
School
Undergraduate
College
Describe any specialized training, apprenticeship, skills and extra-curricular activities.
Graduate
Professional
Other
(Specify)
Describe any job-related training received in the United States Military.
EMPLOYMENT EXPERIENCE
Start with your present or last job. Include any job-related military service assignments and
volunteer activities. You may exclude organizations which indicate race, color, religion, gender,
national origin, disabilities, or other protected status
Employer: Dates Employed Work Performed
Address:
Telephone Number(s): Hourly Rate/Salary
Starting Final
Job Title: Supervisor:
Reason for Leaving:
Employer: Dates Employed Work Performed
Address:
Telephone Number(s): Hourly Rate/Salary
Starting Final
Job Title: Supervisor:
Reason for Leaving:
Employer: Dates Employed Work Performed
Address:
Telephone Number(s): Hourly Rate/Salary
Starting Final
Job Title: Supervisor:
Reason for Leaving:
Employer: Dates Employed Work Performed
Address:
duplicate
Telephone Number(s): Hourly Rate/Salary
Starting Final
Job Title: Supervisor:
Reason for Leaving:
If you need additional space, please continue on a separate sheet of paper.
EMPLOYMENT EXPERIENCE
List professional, trade, business or civic activities and office held.
You may exclude membership which would reveal gender, race, religion, national origin, age,
ancestry, disability or other protected status:
ADDITIONAL INFORMATION
OTHER QUALIFICATIONS
Summarize special job-related skills and qualifications acquired from employment or other experiences.
SPECIALIZED SKILLS (Check Skills/Equipment that apply)
Terminal Spreadsheet Production/Mobile Other (list)
Machinery (list
PC/MAC Word Processing
Typewriter Shorthand
WPM__________ WPM__________
State any additional information you feel may be helpful to us in considering your application
Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS
OF THE JOB FOR YOU ARE APPLYING.
Can you perform the essential functions of the job, for which you are applying, either with or without a reasonable
accommodation? ____ YES ____ NO
REFERENCES
1._____________________________________________________ (_____) __________________________________
Name Phone Number
__________________________________________________________________________________________________
Address
2._____________________________________________________ (_____) __________________________________
Name Phone Number
__________________________________________________________________________________________________
Address
3._____________________________________________________ (_____) __________________________________
Name Phone Number
__________________________________________________________________________________________________
Address
APPLICANT’S STATEMENT
I certify that answers given herein are true and complete.
I authorize investigation of all statements contained in this application for employment
as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to
exceed 45 days. Any applicant wishing to be considered for employment beyond this
time period should inquire as to whether or not applications are being accepted at that
time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law,
any employment relationship with this organization is of an "at will" nature, which
means that the Employee may resign at any time and the Employer may discharge
Employee at any time with or without cause.
In the event of employment, I understand that false or misleading information given in
my application or interview(s) may result in discharge. I understand, also, that I am
required to abide by all rules and regulations of the employer.
______________________________________________ _______________
Signature of Applicant Date
FOR PERSONNEL DEPARTMENT USE ONLY
Arrange Interview Yes No
Remarks__________________________________________________________
_______________________________ __________________________
INTERVIEWER DATE
Employed Yes No Date of Employment __________________
Job Title___________________ Hourly Rate / Salary _______________________
Department ________________________________________________________
By ________________________________________________________________
NAME AND TITLE DATE
NAME:_______________________ POSITION:__________________________ DATE:______________
FOR PERSONNEL DEPARTMENT USE ONLY
Position(s) Applied For Is Open: Yes No
Position(s) Considered For:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Date:______________________________
