Job Application

Thank you for your interest in working at Stepping on up. Please complete the application below for consideration in joining our team!











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Please read carefully and complete the remainder of the application.

An Equal Opportunity Employer
We are an equal opportunity employer, and we do not and will not discriminate on the basis of race, religion, national origin, sex, age, handicap, marital status, or status as a disabled veteran. Information provided on this application will not be used for any discriminatory purpose. 

Employment Record
Starting with present or most recent, list all previous employers. Include self-employment and summer and part-time jobs. If more space is required, please continue on a separate sheet. You may attach a resume later on, but complete this application as well.

Employer 1:













Employer 2














Education History

Please fill out any fields applicable to you.


City, State




City, State





City, State




Outside Activities

(Exclude outside activities indicating race, color, religion, sex, national origin, age, or handicap.)



Professional/ Work References

Reference 1




Street, City, State, ZIP

123-456-7890

Reference 2 




Street, City, State, ZIP

123-456-7890

Reference 3




Street, City, State, ZIP

123-456-7890



mm/dd/yyyy


I hereby certify that the answers and other information on this application are true and correct and that I understand any misrepresentation or omission of facts on my part will be justification for separation from the company’s service, if employed. I understand that my employment may be contingent upon receipt of an alien registration number, verification of birth, and any other pertinent information bearing upon my employment, and that my continued employment depends upon the will of the company or myself. If you agree, enter today's date below and hit submit to sign.

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