Employment Application

EMPLOYMENT APPLICATION

Position(s) applying for:

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What days and hours are you available for work?

If hired, on what date can you start working?

Can you work on weekdays?

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Can you work evenings?

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Salary Desired

Do you have any friends, relatives, or acquaintances working for the Company?

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If yes, state name & relationship

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(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)

High School Name

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Are you currently employed?

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Name of Employer

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List three persons who have knowledge of your work performance within the last four years. Please include professional references only. First/Last Name

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