This information is voluntary; you are not required to complete this form. I UNDERSTAND that this application will only be considered "active" for ______ calendar days from the date of application.PERSONAL DATA. Name. Please print in ink or type. If, because of a disability, you need assistance completing this application, please notify the Director of HR, . List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. Name of employer. Address. Have you ever had any job-related training in the United States Military? Fill out work history section completely. Pennsylvania Employment Application Form.