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*First Name
*Last Name
*Address
*City
*State
*Zip
*Home Phone
Alternate Phone
*Email
 
Drivers License No.
Drivers License State
Legally eligible for employment in the US?
Yes No
United States status (if applicable)
Ever convicted of a felony?
Yes No
If yes, please explain circumstances
Are you at least 18 years old?
Yes No
 

Employment Interests

Departments of interest
Foreman Roofer Sales Administration Accounting
Carpentry Handyman      
 
Desired Salary
Desired Status
If hired, when could you start work?
How did you hear about us?
What hours are you available to work?
 

Employment History

1 Job Title
Employer
Dates of employment
to
Employment Status
Starting Salary
Ending Salary
Employer's Address
Supervisor
May we contact supervisor?
Yes No
Phone
Reason for Leaving
 
2 Job Title
Employer
Dates of employment
to
Employment Status
Starting Salary
Ending Salary
Employer's Address
Supervisor
May we contact supervisor?
Yes No
Phone
Reason for Leaving
 

Education


School Name

Location
Dates
Attended
Degree
Received

Did you graduate?
Yes No

School Name

Location
Dates
Attended
Degree
Received

Did you graduate?
Yes No

School Name

Location
Dates
Attended
Degree
Received

Did you graduate?
Yes No
 

Skills

Certifications
Licenses
Clerical/Office Skills
Languages

 

All applicants are considered without regard to race, color, gender, religion, national origin, age, marital or veteran status, mental or physical disability unrelated to job performance or any other legally protected status.

 

 
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