Employerʼs Name and Address. Date and reason for discharge. Signature.Read the following instructions carefully before completing this application. Please complete the application on a computer or print in ink. Download a Sample Job Application: Download a job application sample and practice filling it out. This file is an application for employment at the City of Los Angeles. Please list the names of your present or previous employers in chronological order with present or last employer listed first. What's included in a job application form? Attach additional sheets if necessary. Name of employer. Address.