Application for Employment
Name: Date: *
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Address: *
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City: State: Zip: *
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Cell: *
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When would you be available to begin work?
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Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment) *
Do you speak English (Required for the safe and effective performance of the job and for the successful operation of our business) *
Are you over the age of 18 years?
Have you ever worked for this company before? (If yes, where? and when?)
Do you have any relatives or friends who work for the company? (If yes, who are they)
Are you available to work: *
Are you presently employed
Have you ever been terminated or asked to resign from any job?
Education
Work Experience
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1. Employer Name
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Job Title
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Dates Employed
What was the reason for leaving
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Wages
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2. Employer Name
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Job Title
Your answer
Dates Employed
What was the reason for leaving
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Wages
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Driving Information
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Do you have a current valid driver's license? *
Has your license ever been suspended or revoked:
Please list 2 reference:
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Important, Please read and Sign the Applicant Certification
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I understand that failure to reveal any prior employer, or giving false or misleading information by me on any part of this Application for Employment can result in disqualification for employment consideration or, if hired, may be grounds for termination from the company or its' subsidiaries. I understand that if I am hired, my employment is for no definite time and may be terminated at any time without prior notice.This Company is an at-will employer as allowed by applicable state law. This means that regardless of any provision in this application, if hired, the company or I may terminate the employment relationship at any time, for any reason, with or without cause or notice. Nothing in this application or in any document or statement, written or oral, shall limit the right to terminate employment at-will. No Officer, employee or representative of the company is authorized to enter into an agreement – express or implied – with me or any applicant for employment for a specified period of time unless such an agreement is in a written contract signed by the president of the company. If hired, I agree to conform to the rules and regulations of the company, and I understand that the company has complete discretion to modify such rules and regulations at any time, except that it will not modify its policy of employment at-will.This application will be considered active for a maximum of (60) days. If you wish to be considered for employment after that time you must reapply.I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE.Applicant Signature _____________________________________ Date ________________ *
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