Mineralogy Employment Application
Please answer all of the following to the best of your ability. Feel free to contact us at info@shopmineralogy.com with questions.
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Full Name *
Full Address *
Phone Number *
Email Address *
Are you legally eligible to work in the US? *
Are you a veteran? *
What position are you applying for? *
Available Start Date *
MM
/
DD
/
YYYY
Desired Pay *
Employment Desired *
Required
Why would you like to work with us? Why would you be good addition to the Mineralogy team? *
Formal Education 1 (Please Provide Name, Location, Years Attended, and Degrees Earned)
Formal Education 2 (Please Provide Name, Location, Years Attended, and Degrees Earned)
Formal Education 3 (Please Provide Name, Location, Years Attended, and Degrees Earned)
Reference 1 (Please Provide Name, Title, Company, and Phone Number or Email Address)
Reference 2 (Please Provide Name, Title, Company, and Phone Number or Email Address)
Reference 3 (Please Provide Name, Title, Company, and Phone Number or Email Address)
Employment History 1 (Please Provide Employer, Job Title, Length of Employment, Pay Rate, and Phone Number)
Employment History 2 (Please Provide Employer, Job Title, Length of Employment, Pay Rate, and Phone Number)
Employment History 3 (Please Provide Employer, Job Title, Length of Employment, Pay Rate, and Phone Number)
Employment History 4 (Please Provide Employer, Job Title, Length of Employment, Pay Rate, and Phone Number)
Employment History 5 (Please Provide Employer, Job Title, Length of Employment, Pay Rate, and Phone Number)
SIGNATURE DISCLAIMER. I certify that my answers are true and complete to the best of my knowledge. lf this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated. (TYPE FULL NAME BELOW) *
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