Xplore USA Employment Application
Work for Xplore USA
Full Name
Your answer
Email *
Your answer
Address *
Your answer
City, State, Zip
Your answer
If your mailing address is different from your physical address, please add it here
Your answer
Home Phone Number
Your answer
Cell Phone
Your answer
Date of Birth
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Please list your interests, activities, sports and community involvement.
Your answer
Position Applying For
List any local clubs or organizations with which you are a member? If yes please give details
Your answer
Do you have any experience with international students? Please describe your role
Your answer
Are you authorized to work in the US?
Do you have a valid Driver’s License? List State and ID number
Your answer
Do you have reliable transportation? Please specify:
Your answer
Have you ever been arrested or convicted of a crime? This includes any DUI. If yes, please specify
Your answer
EDUCATION AND EXPERIENCE
High School Diploma
College or University
Your answer
Field of Study/ Degrees Earned
Your answer
Additional Training or Certification
Your answer
Describe any other educational experience or training that you think will be helpful to you in your position at Xplore USA. *
Your answer
Are you currently employed?
If yes, please detail work schedule & hours
Your answer
1. Current or most recent Employer
Your answer
1. Phone Number
Your answer
1. Dates to
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1. Dates from
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YYYY
1. Job Title and Duties/Responsibilities
Your answer
2. Employer
Your answer
2. Phone Number
Your answer
2. Dates to
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YYYY
2. Dates from
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YYYY
2. Job Title and Duties/Responsibilities
Your answer
3. Employer
Your answer
3. Phone Number
Your answer
3. Dates to
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YYYY
3. Dates from
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DD
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YYYY
3. Job Title and Duties/Responsibilities
Your answer
REFERENCES
Please give us a personal and professional contact. NOTE, these can not be family members
1. Reference Name
Your answer
1. Reference Contact Number
Your answer
1. How long have you known this person?
Your answer
1. How do you know this person?
Your answer
2. Reference Name
Your answer
2. Reference Contact Number
Your answer
2. How long have you known this person?
Your answer
2. How do you know this person?
Your answer
CERTIFICATION
By submitting this application, I certify that the contents of this application are true and accurate to the best of my knowledge, and I authorize Xplore Inc. to contact the references I have provided in an effort to gain further knowledge regarding my suitability for the position for which I am applying.

Please note: Your personal data will be stored as a customer account on our secure web-based system. We will use your data to contact you with information pertinent to your application. As per Xplore's Data Protection Policy, we do not share personal data with third parties. By submitting this form, I agree to receiving information regarding my application.

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