CareerOneStop Practice Job Application
Practice Job Application Results
Date (mm/dd/yyyy)
2/19/2005
First Name
Camden
Middle Initial
T
Last Name
Carey
Address Line 1
4742 White Oak Court Eagan, MN, 55122
Address Line 2
City
Eagan
State
Minnesota
ZIP Code (99999 or 99999-9999)
55122
Phone (555-555-5555)
651-343-2366
Email (jsmith@company.com)
godsphar19@gmail.com
Are you 18 years or older?
No
Are you legally authorized to work in the United States?
Yes
What position are you applying for?
Cashier
Enter how many hours per week you desire to work
30-35
If hired, would you be able to start immediately?
Yes
If no, when would you be able to start? (mm/dd/yyyy)
What is your desired salary?
$15 per hour
Are you employed now?
No
If yes, may we inquire of your present employer?
Have you ever applied to this company before?
No
If yes, when?
N/A
If yes, where?
N/A
Who referred you?
N/A
High School Name
Eastview High School
High School Location
Apple Valley, Minnesota
# of years attended
3
Did you graduate or earn a high school equivalency?
No
Subjects studied?
N/A
College or Other Higher Education Institution Name
N/A
Location
N?A
# of years attended
1
Did you graduate?
No
Subjects studied?
N/A
Graduate School Name
N/A
Graduate School Location
N/A
# of years attended
1
Did you graduate?
No
Subjects studied?
N/A
Subjects of special study?
N/A
Special Skills
Very good with technology. Very good at problem solving with customers as well.
Activities (athletic, civic, volunteer, etc.)
Weight Lifting, Wrestling, and Powerlifting
Are you a U.S. Military Veteran?
No
Military Service (Branch and Dates)
N/A
Current (or most recent) Employer
Chipotle
Address
2075 Cliff Rd, Eagan, MN 55122
Start Date
June 2021
End Date
February 2022
Salary
$15 per hour
Position
Team Member
Reason for leaving
Moved
Previous Employer
Address
Start Date
End Date
Salary
Position
Reason for leaving
Which of your past jobs did you like best?
This one
What did you like most about that job?
The team was easy to work with and had a great time talking with customers as well.
Have you ever been dismissed or forced to resign from any employment?
No
If you answered “yes” to the previous question, please explain.
Reference #1 Name
John Prokopowicz
Address
6200 140th St W, Apple Valley, MN 55124
Phone (555-555-5555)
952-431-8900
Business
School
Years Acquainted
4
Reference #2 Name
Kurt Puschner
Address
6200 140th St W, Apple Valley, MN 55124
Phone (555-555-5555)
952-431-8900
Business
School
Years Acquainted
4
Reference #3 Name
Address
Phone (555-555-5555)
Business
Years Acquainted
Are you willing to work a flexible schedule including evenings, weekends, holidays
and overtime as requested?
Yes
What type of schedule are you interested in?
Part-Time, less than 30 hours
Have you been convicted of a felony crime or theft-related misdemeanor within the
last 5 years?
No
If you answered “yes” to the previous question, please explain.
This information was retrieved on November 11, 2022 at 11:45 AM Eastern Time from
Practice Job Application at CareerOneStop (www.careeronestop.org), sponsored by the
U.S. Department of Labor, Employment and Training Administration.
https://www.careeronestop.org/Toolkit/Jobs/practice-job-application.aspx