RMR PRODUCTIONS - Employment Application
Full Name *
Your answer
Date *
MM
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DD
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YYYY
Current Mailling Address *
Your answer
Address line two
Your answer
City, State, Zip Code *
Your answer
Social Security Number *
Your answer
Phone Number *
Your answer
Are you a U.S. citizen? *
Required
Do you have a valid driver's license? *
Required
If you answered yes, have you had any moving violations within the past three years?
Please list the offence(s)
Your answer
Are you able to lift more than 50 lbs? *
Required
Do you suffer from any disabilities that would inhibit you from working? *
Required
Please explain.
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Do you have any allergies or use any medication? *
Required
List all that apply.
Your answer
Have you ever been convicted of a felony? *
Required
If you answered yes, explain number of convictions, nature of offenses leading to convictions, how recently they were committed, sentances imposed, and types of rehabilition.
Your answer
Are you willing to allow us to conduct a background check? *
Required
List any special endorsements or skills you possess, that are pertinant to the job you are applying for.
Your answer
In which category do you have the most experience? *
In which category would you most prefer to work? *
Are you available on an on-call basis? *
Required
Previous Employer
Your answer
Previous Employer's phone number
Your answer
Employment Started
MM
/
DD
/
YYYY
Employment Ended
MM
/
DD
/
YYYY
List the job position and duties you performed.
Your answer
Reason for leaving
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Do you have an questions or comments that you would like to add?
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Please list three references and phone numbers where they can be reached. *
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List and emergency contact and a number where they can be reached *
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