List any other names used if different from name on this application. Name of Employer: Name of last supervisor: Dates of employment: From: To:.I fill in an application and they asked for first name, last name and former name. So what is the former name? You may attach a résumé, but all questions must be answered. "Employer". Position applying for. Sign this application. The person who filled out the form or their authorized representative should sign. Signature. A collection of one or more commercial permits (including the application record) that define one owner's construction project. Please list two (2) references with current names, addresses, phone numbers and their relationship to you.