DWS-WDD 304
Rev. 11/2017
State of Utah
Department of Workforce Services
MASTER APPLICATION
The purpose of a Master Application is to have all of your contact information, education,
experience, and skills in one document for completing employment applications.
1. Applicant Information
Name:
Last
Middle Initial
Address:
Street address
City
State
Zip
Home phone:
Cell phone:
Email address:
Are you a veteran? ……..
Yes No
Have you ever been convicted of a misdemeanor or felony? …………………....
Yes No
If yes, please explain:
2. Employment Interest
List the positions you are interested in by specific title (typist, carpenter, auto mechanic).
1st choice:
2nd choice:
Available to work:
Full time Temporary Part time Shift work
Date you can start:
Desired salary:
3. References
Name/Title
Company/Address
Telephone/Email
Professional
Personal (Persons not related to you who you have known at least one year.)
Reset
4. Work History: List your work experience, beginning with most recent, for the past ten (10) years.
Employer:
Dates of employment from:
to:
Address:
Street address
City
State
ZIP
Supervisor’s name:
Phone & email:
Salary starting:
Salary ending:
Job title, responsibilities, and duties:
Reason for leaving:
Employer:
Dates of employment from:
to:
Address:
Street address
City
State
ZIP
Supervisor’s name:
Phone & email:
Salary starting:
Salary ending:
Job title, responsibilities, and duties:
Reason for leaving:
Employer:
Dates of employment from:
to:
Address:
Street address
City
State
ZIP
Supervisor’s name:
Phone & email:
Salary starting:
Salary ending:
Job title, responsibilities, and duties:
Reason for leaving:
Employer:
Dates of employment from:
to:
Address:
Street address
City
State
ZIP
Supervisor’s name:
Phone & email:
Salary starting:
Salary ending:
Job title, responsibilities, and duties:
Reason for leaving:
Employer:
Dates of employment from:
to:
Address:
Street address
City
State
ZIP
Supervisor’s name:
Phone & email:
Salary starting:
Salary ending:
Job title, responsibilities, and duties:
Reason for leaving:
Employer:
Dates of employment from:
to:
Address:
Street address
City
State
ZIP
Supervisor’s name:
Phone & email:
Salary starting:
Salary ending:
Job title, responsibilities, and duties:
Reason for leaving:
5. Education and Training
High School Name, City, State:
Highest level completed:
Diploma
GED
Highest grade completed (1-12):
College, business,
trade schools
Location
Major
Dates
attended
Degree/ Certificate
or # of credit hours
Military dates of service
Discharge status
Operational code, duties and specialty training
Licenses and certifications
License number
Expiration
Special training/seminars, workshops
Location
Dates
attended
Certificate
Honors/awards/accomplishments
Name of organization
awarding
Dates
6. Special job skills (words typed per minute, team player, self-starter, languages, computer
hardware/software, machines/equipment):
7. Volunteer Work (paid or unpaid training, internships, externships, apprenticeships, organizational
memberships, or community involvement)
Organization:
Dates from:
to:
Address:
Street address
City
State
ZIP
Email address:
Phone:
Title, responsibilities, and duties:
Reason for leaving:
Organization:
Dates from:
to:
Address:
Street address
City
State
ZIP
Email address:
Phone:
Title, responsibilities, and duties:
Reason for leaving:
Organization:
Dates from:
to:
Address:
Street address
City
State
ZIP
Email address:
Phone:
Title, responsibilities, and duties:
Reason for leaving:
Equal Opportunity Employer Program
Auxiliary aids and services are available upon request to individuals with disabilities by calling (801) 526-9240. Individuals
with speech and/or hearing impairments may call Relay Utah by dialing 711. Spanish Relay Utah: 1-888-346-3162
Print
8
Employer Research Worksheet
Name of company: _____________________________ Website:___________________________________
What products or services does
the company provide?
What is the companys mission
statement?
Who is the head of the company?
What do you know about him or
her?
Where is the companys
headquarters? How many
locaons does the company have?
What is the companys corporate
culture?
What is the companys
reputaon? What awards or
recognions have they received?
What are the company’s plans for
the future?
What are the company strengths,
weaknesses and challenges?
What projects and divisions of the
company interest you and why?
Why are you interested in working
for this company?
Other Notes:
Job Search Preparation
Master application
Master Resume
Electronic version of resume
Jobs.utah.gov work registration
LinkedIn address / URL (LinkedIn is the world’s largest professional network, post your
resume and showcase your skills and talents.)
Cover letter
* Remember resumes, cover letters and applications should be customized to each job for
which you are applying.
Reference sheet (Always contact your references before including them on your reference
sheet. Select at least 3 people who know your work capabilities.)
Professional email address
Professional voicemail message
Tips for recording your phone message:
- Smile while recording your message
- Use your first and last name
- Speak clearly and slowly
- No distracting background noise while recording
Try this out: “Hello, you have reached _________________________ please leave your name number
and message aer the tone and I will return your call as soon as possible. Thank you and have a nice
day.
Job search tracking system
Additional job search checklist items
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
________________________________________________________________________
Job Search Checklist
Date Company Name Position Salary
Contact Info
Status
Additional Notes
Job Search Tracker