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Employment
Application For Employment
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Name, Last
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First
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Middle
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Gender
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Male
Female
Date Of Birth
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Phone Number
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Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You will be required to provide documentation if hired.)
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Yes
No
Position applied for
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When can you start?
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Are you looking for full-time employment?
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Yes
No
Full or Part Time
Not Sure
If no, what hours are you available?
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Are you willing to work double shifts?
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Yes
No
Are you willing to work weekends?
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Yes
No
Additional Comments
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Have you ever been convicted of a felony? (This will not negatively affect your application.)
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Yes
No
If yes, please describe conditions.
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Education
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Some High School
GED
Completed High School
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
High School Name
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City, State
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Year
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College
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City, State
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Year
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Major
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College
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CIty, State
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Year
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Major
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Other Training
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CIty, State
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Year
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Explain
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Are you still attending school?
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Yes
No
In addition to your work history, are there other skills, qualifications, or experience that we should consider?
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Employment History (Start with most recent employer)
Company Name
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Phone
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Start Date
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Starting Position
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End Date
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Ending Position
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Supervisor
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May We Contact
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Yes
No
Responsibilities
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Reason For Leaving
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Additional Comments
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Company Name
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Phone
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Start Date
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Starting Position
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End Date
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Ending Position
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Supervisor
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May We Contact
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Yes
No
Responsibilities
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Reason For Leaving
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Additional Comments
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Company Name
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Phone
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Start Date
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Starting Position
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End Date
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Ending Position
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Supervisor
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May We Contact
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Yes
No
Responsibilities
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Reason For Leaving
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Additional Comments
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Why do you want to work for this company?
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Why are you the best candidate for this position?
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By checking this box, I agree that I have read and understand the disclosure below.
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I Agree
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. This company is hereby authorized to make any investigations of my prior educational and employment history. I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no supervisor, manager, or executive of this company, other than the president, has any authority to alter the foregoing.
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