Information

Full Name: Newbold Morgan L Date: 10/10/17

Last First M.I.
Address: 8013 Forest Edge Drive
Street Address Apartment/Unit #
Roanoke VA 24018
City State ZIP Code
Phone: (685) 3042 E-mail Address: Mnewbold1018@gmail.com

Date Available: 10/11/17 Social Security No.: 123-45-6789 Desired Salary: $n/a

Position Applied for: Manager

YES NO YES NO
Are you a citizen of the United States? x If no, are you authorized to work in the U.S.? x
YES NO
Have you ever worked for this company? x If yes, when?
YES NO
Have you ever been convicted of a felony? x

If yes, explain:

Education
High School: Cave Spring High School Address: 3712 Chaparral Dr, Roanoke, VA 24018
YES NO
From: 2015 To: 2019 Did you graduate? x Degree: Advanced Diploma

College: JMU Address:

YES NO
From: 2019 To: 2023 Did you graduate? x Degree: Bachelors

Other: Address:
YES NO
From: To: Did you graduate? Degree:

References
Please list three professional references.

Full Name: Mr. Askew Relationship: Teacher

Company: Works for Cave Spring High School Phone: (123) 4567

Address:

Full Name: Mrs. Shuman Relationship: Teacher

Company: Works for Cave Spring High School Phone: (123) 4567

Address:

Full Name: Jillian Morganelli Relationship: Co Worker

Company: Smoothie King Phone: (123) 4567

Address:
Previous Employment
Company: Smoothie King Phone: (123) 4567

Address: Supervisor:
$Minimum $same as
Job Title: Cashier Starting Salary: wage Ending Salary: starting

Responsibilities: Cashier and Drinks

From: 2015 To: 2016 Reason for Leaving: Other job opportunity
YES NO
May we contact your previous supervisor for a reference? x

Company: Starbucks Phone: (123) 4567

Address: Supervisor:
$minimum $minimum
Job Title: Cashier Starting Salary: wage Ending Salary: wage

Responsibilities: Drinks and Cashier

From: 2016 To: 2017 Reason for Leaving: moved

YES NO
May we contact your previous supervisor for a reference? x

Company: Chipotle Phone: (123) 4567

Address: Supervisor:
$minimum $minimum
Job Title: Cashier Starting Salary: wage Ending Salary: wage

Responsibilities: Burrito maker, Cashier

From: 2017 To: now Reason for Leaving: Other job opportunities
YES NO
May we contact your previous supervisor for a reference? x

Military Service
Branch: From: To:

Rank at Discharge: Type of Discharge:

If other than honorable, explain:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.