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    • 1

      APPLICANT INFORMATION

    • 2

      EDUCATION

    • 3

      REFERENCES

    • 4

      PREVIOUS EMPLOYMENT

    • 5

      REFERENCE INFORMATION

    1/5

    APPLICANT INFORMATION

    Are you a citizen of the United States?
    YesNo
    If no, are you authorized to work in the U.S.
    YesNo
    Have you ever worked for this company?
    YesNo
    Have you ever been convicted of a felony
    YesNo

    0%

    High School
    Did you graduate?
    College
    Did you graduate?
    Other
    Did you graduate?

    25%

    Please list three professional references.
    1.
    2.
    3.

    50%

    PREVIOUS EMPLOYMENT
    1.
    May we contact your previous supervisor for a reference?
    2.
    May we contact your previous supervisor for a reference?
    3.
    May we contact your previous supervisor for a reference?
    MILITARY SERVICE
    MILITARY SERVICE
    YesNo

    75%

    Te be completed by former employer: Would you rehire?
    YesNo
    Is the above information correct?
    YesNo
    If no please explain
    Job Skill
    Job Knowledge
    Initiative
    Attendance
    Ability to Work with Others
    Judgement
    Honesty
    Ability to accept Direction
    Grooming and Appearance
    Time Management
    DISCLAIMER AND SIGNATURE

    100%