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Employment Opportunities

Please fill out the application form below and submit when finished.

Application Form

Full Name

Date

Permanent Address

City:

State:

Zip Code

Phone Number:

Email:

Date Available

Position Applied for:

Are you a citizen of the United States?

Yes

No

If no, are you authorized to work in the U.S.?

Yes

No

Have you ever been convicted of a felony?

Yes

No

If yes, explain:

Do you have any traffic violations that would cause us not to be able to insure you?

Yes

No

High school:

Did you graduate?

Yes

No

College:

Did you graduate?

Yes

No

Degree

References:

Relationship:

Company:

Phone Number:

Full Name

Relationship

Company:

Phone Number

Employment History:

Company Phone Number:

Company Address:

Supervisor:

What typle of pay scale were you on:

Hourly

Flat Rate

Commission

How much do you have invested in your tools?

How much did you make last year?

How many hours do you turn a week on average?

Dates Employed Start:

Dates Employed End

Description of Duties:

Reason for Leaving:

May we contact this employer?

Yes

No

I agree to a Drug Screening at the company's expense:

Yes

No

I agree to a Criminal Background Check at the company's expense:

Yes

No

Digital Signature:

Submit resume:

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