Personal Rsum Information
A Record
for Job Seekers
Georgia Department of Labor Mark Butler, Commissioner
Equal Opportunity Employer/Program Auxiliary Aids & Services Are Available Upon Request
To Individuals With Disabilities
HELPFUL HINTS
FOR COMPLETING A JOB APPLICATION
1. Have information readily available. Don't erase, scratch out or leave blank. Use this book to avoid spelling errors.
2. Answer as fully as possible.
3. Leave no blank spaces. For questions that do not apply to you, draw a line or write N/A.
4. Use only positive information. If the response is negative or requires explanation, write "will discuss in interview". Avoid negative words such as "quit" or "fired".
5. If your work history is long and varied, attach a rsum.
6. Be prepared to use ink or complete a computer based application.
7. Be completely honest. Misrepresenting yourself on a job application may result in being fired at a later date.
PERSONAL DATA
Full Name: _______________________________ Address: _________________________________ City: _____________ State: ______ Zip: ________ Telephone: (_______) _______________________ Message: (_______) ________________________ E-Mail: ___________________________________ Social Security: ____________________________ Length of Time at Present Address: ____________ Days/Hours Available: _______________________ Job Objective: _____________________________ _________________________________________ _________________________________________ Salary Range: _____________________________ _________________________________________ Professional/Civic Organizations: ______________ _________________________________________ _________________________________________ Work Limitations: ___________________________ _________________________________________ _________________________________________
WORK HISTORY
JOB 1. (most recent)
Employer: ________________________________
Address: _________________________________
Telephone: (_______) _______________________
E-Mail: ___________________________________
Job Title: _________________________________
Dates: _______________ to _________________
MO/YR
MO/YR
Salary: _______________ _________________
Beginning
Ending
Supervisor: _______________________________
Reason for Leaving: ________________________
Job Duties: ________________________________
_________________________________________
_________________________________________
_________________________________________
Machines/Tools: ____________________________
________________________________________
Factors Liked
Factors Disliked
___________________ ____________________
___________________ ____________________
___________________ ____________________
WORK HISTORY
JOB 2.
Employer: ________________________________
Address: _________________________________
Telephone: (_______) _______________________
E-Mail: ___________________________________
Job Title: _________________________________
MO/YR
Dates: _______________ to _________________
Beginning
Salary: _______________ _________________
Supervisor: _______________________________
Reason for Leaving: ________________________
Job Duties: _______________________________
_________________________________________
_________________________________________
__________________________________________
Machines/Tools: ___________________________
_________________________________________
Factors Liked
Factors Disliked
___________________ ____________________
___________________ ____________________
___________________ ____________________
WORK HISTORY
JOB 3.
Employer: ________________________________
Address: _________________________________
Telephone: (_______) _______________________
E-Mail: ___________________________________
Job Title: _________________________________
MO/YR
MO/YR
Dates: _______________ to _________________
Beginning
Ending
Salary: _______________ _________________
Supervisor: _______________________________
Reason for Leaving: ________________________ Job Duties: ________________________________ _________________________________________ _________________________________________ _________________________________________
Machines/Tools: ___________________________
_________________________________________
Factors Liked
Factors Disliked
___________________ ____________________
___________________ ____________________
___________________ ____________________
WORK HISTORY
JOB 4.
Employer: ________________________________
Address: _________________________________
Telephone: (_______) _______________________
E-Mail: ___________________________________
Job Title: _________________________________
MO/YR
MO/YR
Dates: _______________ to _________________
Beginning
Ending
Salary: _______________ _________________
Supervisor: _______________________________
Reason for Leaving: ________________________ Job Duties: _______________________________ _________________________________________ __________________________________________
Machines/Tools: ___________________________
_________________________________________
Factors Liked
Factors Disliked
___________________ ____________________
___________________ ____________________
___________________ ____________________
OTHER WORK HISTORY
Job Emplo yer Dates Title 1.
Reason for Leaving
2.
3.
4.
SKILLS
Job Content _______________________________ _________________________________________ _________________________________________ Transferable _______________________________ _________________________________________ _________________________________________ Self Management ___________________________ _________________________________________ _________________________________________
MILITARY Branch _____________ Rank ______________ Dates ______________ to ________________
Job Titles __________________ __________________ __________________
Duties __________________ __________________ __________________
Machines/Tools __________________________
VOLUNTEER WORK
Organization
Duties/Responsibilities
EDUCATION AND TRAINING
School
Name/Address
Dates
Field of Study
Years/Hours Comp. GPA
Secondary
Degree
College
College
Other
Major
Minor Major
Minor
Other
GED _________________
Date Received
________________________
Location
Professional Licenses/Certificates: ______________________________
______________________________
_______________
(Valid Through)
_______________
(Valid Through)
MISCELLANEOUS Explanation of Work Gaps
Dates
Reason
Professional Accomplishments/Awards: _____ _____________________________________ _____________________________________
Questions to Ask at Interview
1. ___________________________________ _____________________________________ 2. ___________________________________ _____________________________________ 3. ___________________________________ _____________________________________ 4. ___________________________________ _____________________________________
REFERENCES
1. Name: ____________________________________ Employment: _______________________________ Job Title: __________________________________ Address: __________________________________ __________________________________________ Telephone/E-Mail: __________________________ How long have you known this person? _________
2. Name: _____________________________________ Employment: ________________________________ Job Title: ___________________________________ Address: ___________________________________ __________________________________________ Telephone/E-Mail: __________________________ How long have you known this person? _________
3. Name: ____________________________________ Employment: _______________________________ Job Title: __________________________________ Address: __________________________________ __________________________________________ Telephone/E-Mail: __________________________ How long have you known this person? _________
4. Name: ____________________________________ Employment: _______________________________ Job Title: __________________________________ Address: __________________________________ __________________________________________ Telephone/E-Mail: __________________________ How long have you known this person? _________
NOTES
JOB LEADS
Employer
Phone
Contact Person
Results
JOB LEADS
Employer
Phone
Contact Person
Results
DOL-1130 (R-5/11)