Step 2 of 5: About Your Employment and History

About Your Job

*Job Title:

 

*Job Description:

 

 

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Example Job Titles and Descriptions

Job Title	Job Description
Administrative Assistant	Providing clerical support, completing reports and memos, invoice and bill tracking for payment, payroll, supplies, and performing other general clerical and office duties.
College Professor	Conducting college or university courses for undergraduate or graduate students to include teaching, lecturing, instructional material preparation/planning, grading, directing or conducting research.
Electrician	Maintaining, repairing, and installing electrical equipment system
Meat/Deli Clerk	Inventorying, storing, pricing, restocking meat products and assisting customers in a retail grocery store.
Mechanic	Repairing and maintaining machinery and mechanical equipment.

Your Employer's Details

Employer Name:

Employer Headquarter Address:

Employer Headquarter City:

Employer Headquarter State:

Select a State ALASKAALABAMAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDELAWAREDISTRICT OF COLUMBIAFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTAOHIOOKLAHOMAOREGONPENNSYLVANIARHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMINGGUAMPUERTO RICOVIRGIN ISLANDSMAIL BEING SHIPPED TO AMERICASMAIL BEING SHIPPED TO EUROPEMAIL BEING SHIPPED TO PACIFICAMERICAN SAMOAFEDERATED STATES OF MICRONESIAMARSHALL ISLANDSNORTHERN MARIANA ISLANDSPALAU

Employer Headquarter Zip:

State you work in:

Select a State ALASKAALABAMAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDELAWAREDISTRICT OF COLUMBIAFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTAOHIOOKLAHOMAOREGONPENNSYLVANIARHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMINGGUAMPUERTO RICOVIRGIN ISLANDSMAIL BEING SHIPPED TO AMERICASMAIL BEING SHIPPED TO EUROPEMAIL BEING SHIPPED TO PACIFICAMERICAN SAMOAFEDERATED STATES OF MICRONESIAMARSHALL ISLANDSNORTHERN MARIANA ISLANDSPALAU

*Location/Division you work in:

 

Country you work in:

Select a Country United States Canada

*Employer Contact:

 

*Employer Phone:

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Employer Contact Information

Employer contact who can provide information on your salary and benefit eligibility.

Employer Fax:

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Employer Email Address:

 

Your Education and Work History

Formal Education

Which of the following best describes the extent of your formal education?

	Indicate Level of Education Completed	Provide Detail:
	Did not finish high school.	Last Grade Completed (1-11):
	Completed high school or GED.
	Completed some college (no degree).	Years Completed:
	Completed an Associate Degree.	Associate Degree Held:
	Completed an Undergraduate Degree.	Undergraduate Degree Held:
	Completed a Masters Degree.	Masters Degree Held:
	Completed a Ph.D.	PhD Held:
	Completed a Medical Degree.	Type of Medical Degree and Specialty:
	Completed a Juris Doctorate / Law Degree.	Type of Law Degree:
	Completed a Trade School program.	Current Occupational Licenses:

Employment History

Briefly describe your past work experience for the last 20 years, beginning with your most recent job.

Job Title	Duties	Start Date	End Date

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