Employment Opportunity

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APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION
Full Nameyour full name
Address
City
State
Zip
Phone
Day Phone (if Different)
Date of Birth
Position for which you are applying
Are you employed at the present time?
Employer’s Name:
Employer’s Address:
How long have you been with this employer?
Present Salary:
1. If offered a position, when can you report for work?
2. If hired can you show proof of your legal right to work in the U.S.?
3. Have you ever been dismissed, or asked to resign from any position?
4. Have you ever been convicted of a felony, or a misdemeanor which resulted in imprisonment?A yes answer to the above question does not necessarily disqualify an applicant from employment.
If yes to number 3 or 4, please explain:
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EDUCATION
Please list on the following lines all schools attended and any other pertinent information about your education.
School(s)
High SchoolSubjects Studied (if applicable)
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College(Including dates attended)
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EMPLOYMENT EXPERIENCE
(List most current experience first)
Name & Address - Position(s) Held - Dates (Start - End)
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REFERENCES
(please include at least three)
Name & Address (Include City, State, Zip) - Phone - Relationship
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The following section is to be completed by applicant for an OFFICE POSITION:Please provide computer and software knowledge below:
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I certify that all statements made herein and on the enclosed resume are true and correct to the best of my knowledge. I authorize investigation of all statements herein recorded. I release from liability all persons and organizations reporting information required by this application.
Certify Date
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