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List most recent job first.
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| What position
are you applying for? |
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| When are you available to
start work? |
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| Are you willing to work
overtime? |
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| Are
you at
least 21
years old? |
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| What languages do you speak, read, or
write fluently? |
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| If hired, can you verify that you have
the legal right to work in the United States? |
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| Do you have any special skills, training,
or experience which may help you qualify for this job? |
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| If so, please explain |
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| Do you have a reliable
means of transportation to get to work? |
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| Do you have any physical
or mental conditions that would limit your ability to
do this job? |
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| If so, please explain |
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| Do any of your relatives
work for this company? |
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| If so, who? |
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| Have you ever worked for
this company before? |
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| If so, when? |
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Have you ever been convicted
of a crime, excluding misdemeanors and summary offenses?
(Note:Conviction
will not necessarily disqualify applicant) |
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| If so, please explain |
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| How did you find out about
this job? |
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| Resume (.doc or .pdf only) : |
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I certify
that the information provided herein is true and correct to
the best of my knowledge. I understand that, if employed, falsified
statements on this Application for Employment form will be considered
grounds for termination.
I authorize the company to thoroughly investigate my work experience
and any other matters related to my suitability for employment.
I further authorize my former employers to disclose to the company
any and all information they may have concerning my previous
employment. In addition, I hereby release the company, my former
employers, and all other persons from any and all claims, demands,
or liabilities arising out of, or in any way related to, such
disclosure.
I acknowledge that, if employed, both the company and I have
the right to terminate the employment relationship at any time,
with or without cause or advance notice. This employment at
will relationship will remain in effect throughout my employment
with the company and may not be modified by any oral or implied
agreement.
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