Name
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First Name
Last Name
Email
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Phone
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Position
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What position(s) are you interested in?
Availability
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First Date Available
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Select your first available date to begin work.
MM
DD
YYYY
Employment History 1
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Please list your most recent place of employment and include: position held, length of time employed, and a contact name with phone number for reference.
Employment History 2
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Please list other relevant employment and include: position held, length of time employed, and a contact name with phone number for reference.
Employment History 3
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Please list other relevant employment (if any) and include: position held, length of time employed, and a contact name with phone number for reference.
Professional Reference
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List at least one professional reference (not a family member). Include name, phone number, relationship and years known.
What attributes and skills would make you the perfect person for the position?
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Authorization & At-Will Employment Agreement
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I certify that I have personally completed this application and that the information provided in this employment application is true and complete. I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification form my dismissal from employment if discovered at a later date. I agree to immediately notify this company if I should be convicted of a crime while my job application is pending or during my employment, if hired.I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or discharge. I specifically authorize and direct my current and former employers to supply employment-related information to this company and do hereby release my current and former employers from liability for providing information to this company. Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer. I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investigative report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations. I understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an employment contract between the company and me. In addition, I understand and agree that if you employ me, in consideration of my employment, my employment and compensation will be at-will, for no definite period of time, and may be terminated at any time, for any reason, or for no reason at all. I understand that only the company’s President is authorized to change the employment-at-will status and such a change can only be done in writing.
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