Employment Application
STEPHENSONPRINTINGINC
An Equal Opportunity Employer

 5731 General Washington Drive
Alexandra, Virginia 22312
703.642.9000
PERSONAL INFORMATION
Full Name:
Street Address:
City, State, Zip:
Apply Date:
Phone(W):
Phone(H):
Email:
Referral:
JOB INTEREST
Applying For: Date Available:
Other Position: Wages Expected:
Previously Employed by StephensonPrinting Inc.?   Yes  No 
 If Yes, Give Dates: From   To  
CONFIDENTIAL
Have you ever been convicted of a FELONY?     Yes  No 
     If yes, Please explain:  
EDUCATION: (SELECT HIGHEST YEAR COMPLETE)
Grade School:     
High School: Name: Course: Grade:
College: Name: Course: Grade:
Grad. School: Name: Course: Grade:
Training: Course: Where Attend:

MILITARY EXPERIENCE:
Dates of Service:      Honorable Discharge? Yes  No  
Disabled Veteran? Yes  No 

Employment at Will – All employees of Stephenson Printing Inc are employees at will, and both the employee and Stephenson Printing Inc are free to terminate the employment relationship at their discretion. No supervisor or other Stephenson Printing Inc employee has the authority to alter this relationship.


EMPLOYMENT HISTORY
Month/Year Name/Address/Phone of Former Employer Highest Position Held Immedi-ate Super-visor Wages
From To Beginning Ending
Base

OT

Other

 Base

OT

Other
Reason for leaving:
Reason for leaving:
Reason for leaving:

PERSONAL REFERENCES:
(Give three references that have known you at least three years. Do not include relatives or persons living outside the U.S.)
Name Street City State Zip Phone
1.
2.
2.

OTHER INFORMATION
You may enter comments below. You can also paste your resume here (text file only).
 

Considerations and Acknowledgements of Employment

Equal Employment Opportunity – Stephenson Printing Inc is an equal opportunity employer. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, marital status, veteran’s status or handicap unrelated in nature and extent to the ability to perform job duties. This policy of nondiscrimination extends to all terms, conditions and privileges of employment and to all personnel actions.

Statement by Applicant – I authorize Stephenson Printing Inc to contact my former employers and references listed on this application and I authorize such individuals and organizations to release information requested by Stephenson Printing Inc. The information I have supplied on this application and by way of oral statements is true and accurate and I understand that any false statement made by me, either verbally or written, to Stephenson Printing Inc may result in immediate dismissal.

Initial Employment Period – An initial employment period begins on the first day of employment and continues for 90 worked days for both full-time and part-time employees. This period is to provide both the employee and Stephenson Printing Inc an opportunity to determine whether the employee and the job assignment are suited for each other. The employee and the company are free to terminate the employment relationship at any time during the initial employment period without notice to the other party.