Hour Glass Remodeling
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Employment Application
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Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Email
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Date of Birth
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Social Security Number
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Position Applied For
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Desired Salary
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Date Available
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Are You A Citizen of The USA Select One
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Yes
No
If no, are you authorized to work in the U.S?
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Have You Ever Worked For This Company Select One
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Yes
No
If so, when?
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Have you ever been convicted of a felony? Select one
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Yes
No
If yes, explain
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High School Name and Address
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From what date/ To what date
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Did You Graduate? select one
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Yes
No
Did you get a degree? select one
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Yes
no
College Name and address
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From what date/ To what date
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Did you graduate? select one
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yes
no
Did you get a degree? select one
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yes
No
Other School name and address
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From what Date/ To what date
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Did you graduate? select one
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Yes
No
Did you get a degree? select one
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Yes
No
PLEASE LIST THREE PROFESSIONAL REFERENCES
Reference 1: Company Name, Address, Contact name, phone and relationship
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Reference 2: Company Name, Address, Contact name, phone and relationship
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Reference 3: Company Name, Address, Contact name, phone and relationship
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PREVIOUS EMPLOYMENT
Company Name #1
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Address
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Phone
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Supervisor
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Job title
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Starting salary
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Ending salary
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Responsibilities
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From date/ To date
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Reason for leaving
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May we contact your previous supervisor for a reference? select one
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Yes
No
Company Name #2
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Address
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Phone
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Supervisor
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Job Title
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Starting Salary
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Ending salary
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Responsibilities
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From date/ To date
*
Reason for leaving
*
May we contact your previous supervisor for a reference? Select One
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Yes
No
Company Name #3
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Address
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Phone
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Supervisor
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Job Title
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Starting salary
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Ending salary
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Responsibilities
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From date / To date
*
Reason for leaving
*
May we contact your previous supervisor for a reference? Select One
*
Yes
No
Military Service
Branch
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From date/ To date
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Rank at discharge
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Type of discharge
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If other than honorable, please explain:
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Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
I may be asked to take part in a random drug test. I authorized a complete background check to the employer.
When submitting this application the applicant agrees to the terms and the submittal of this document acts as a written signature.
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Last
Date
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