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APPLICATION FOR EMPLOYMENT<br />Name:Date:Tel. No.:<br />Present address:How long have you lived there?: <br />Date available:Earnings expected (do not leave this blank): $<br />Are you 18 yrs of age or older? 0 Yes 0 NoCitizen of the United States? 0 Yes 0 No<br />Is there any reason why you cannot perform essential functions of this job?  0 Yes 0 No       If yes, Explain:<br />How were you referred to this Company? <br />Do you have reliable transportation to get to work? 0 Yes 0 No Explain _<br />Have you ever been convicted of a criminal offense other than a minor traffic violation? 0 Yes 0 No   If yes, explain fully:<br />EDUCATION<br />Type of School (please circle highest level of education):<br />High SchoolCollegeGraduate SchoolBusiness or Trade SchoolNight School<br />Name of School Majored InDid YouGraduate?<br />Last Yr.AttendedDegree:<br />Scholastic standing in High School: 0upper quarter 0 middle half 0 lower quarter. <br />In College: 0upper quarter 0 middle half 0 lower quarter<br />Academic Honors: <br />EXTRA CURRICULAR ACTIVITIES (athletic, clubs, etc.). Do not include military, religious, or nationality groups.<br />In High School: Offices Held:<br />In College:Offices Held:<br />Have you served in the U.S. Armed Forces or in the National Guard? __ If yes, describe your experience _<br />EMPLOYMENT HISTORY – PLEASE LIST YOUR MOST RECENT EMPLOYMENT STARTING WITH PRESENT OR MOST RECENT<br />,[object Object],Indicate by number employers that you do not want us to contact: <br />Special Activities (List activities since leaving school. Do not include military, religious or nationality groups). <br />Type of Activity or OrganizationName or DescriptionFromToOffices HeldAverage Hrs./Wk.<br />APPLICANT'S STATEMENT: I understand and agree that any misrepresentation by me on this application or supplement thereto will be sufficient<br />grounds for dismissal. <br />Signed: ______________________________________________________<br />
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