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Employment Application

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Are You Over 18?
Type of Employment
Availability (Days)
Availability (Time)
Are You a Citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
Have you ever been convicted of a felony?
Are you a veteran?

Education

Did you graduate?

Did you graduate?

Did you graduate?

References

Please list three professional references.


Previous Employment

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May we contact your previous supervisor for reference?

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May we contact your previous supervisor for reference?

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May we contact your previous supervisor for reference?

Disclaimer and Signature

I declare the information provided by me in this application is true, correct, and complete to the best of my knowledge. I understand that if employed, falsification, misstatement or omission of fact in connection with my application, whether on this document or not, may result in immediate termination of employment. I acknowledge that if I become employed by the company, I will be free to terminate my employment at any time for any reason and the company retains the same rights. No company employee has the authority to make any contrary agreement.
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