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Application for Employment

Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.

Ngày ______________

Last name ________________________ First name ________________ Middle name________

Street Address _________________________________________________________________

City _____________________ State _______ ZIP _______

Điện thoại ___________________________ Social Security ___________________________

Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.) Yes/No

Are you looking for full-time employment? Yes/No

If no, what hours are you available? ______________

Are you willing to work swing shift? Yes/No

Are you willing to work graveyard? Yes/No

Have you ever been convicted of a felony? (This will not necessarily affect your application.) Yes/No

If yes, please describe conditions. _______________________________________________

Employment Desired

Position applied for __________________________________________

How did you hear of this opening? __________________________________________

Have you ever applied for employment here? Yes/No

When? ___________________________________ Where?___________________________________

Have you ever been employed by this company? Yes/No

When? ___________________________________ Where?___________________________________

Are you presently employed? Yes/No

May we contact your present employer? Yes/No

Are you available for full-time work? Yes/No

Are you available for part-time work? Yes/No

Will you relocate? Yes/No

Are you willing to travel? Yes/No If yes, what percent? __________________________

Date you can start_______________________________________________________________

Desired position________________________________________________________________

Desired starting salary___________________________________________________________

Please list applicable skills___________________________________________________

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