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EMPLOYMENT APPLICATION
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Name
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Last
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Date of Birth
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MM slash DD slash YYYY
Cover Letter / Resume
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What position are you applying for?
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Salary Requirements
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Criminal Record
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Have you been convicted of any felonies other than minor tracffic violations during the past seven (7) years? (A criminal record or a conviction will not automatically bar employment but will be considered only as it reasonably relates to your fitness to perform in the positions for which you are applying.)
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Education
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Start with your PRESENT or MOST RECENT EMPLOYER list in consecutive order ALL EMPLOYMENT or at least the past THREE employers.
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Skills & Qualifications
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Acknowledgement
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READ CAREFULLY I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.
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Date
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