____________ Excellent Good Fair
____________ Excellent Good Fair
EXPERIENCE (Give present or last position first)
COMPANY __________________ ADDRESS ______________
TYPE OF BUSINESS/ INDUSTRY _______________
EMPLOYED (Month & Year)From ______ To _______
POSITION(S) HELD SUPERVISOR’S NAME
_____________ _______________
DESCRIBE YOU DUTES _______________________________________________________
WHY DID YOU LEAVE ___________________________________