Job Application
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Name *
Last, First, Middle, Maiden
Present Address *
Telephone *
E-Mail Address
Leave blank if you do not have one.
Date of Birth *
Last Four of Your SSN *
If hired, the last four of your SSN are used to log you into our computer system.
Position applied for: *
Salary desired *
Please be specific.
Days available *
How many hours can you work weekly? *
Can you work nights? *
Employment desired *
Educational History *
Please list all educational history, including a list of schools attended (name + address), # of years completed, and any major/degree.
Have you ever been convicted of a crime? *
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
References *
Please list two references other than relatives or friends.
Do you have a driver's license? *
Work Experience *
Please provide a list of work experience from most recent to least recent for the last 5 years.  Please include employer address, name of supervisor, dates of employment, salary, title, and reason for leaving.
What Activities Are You In? *
Sports, Clubs, Oganizations etc.
Why should we hire you? *
Please explain how Goldies would benefit from adding you to our team.
May we contact your current employer?
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Did you complete this application yourself? *
When can you start upon hiring? *
I assure that all the information given in this application is truthfull. *
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