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First Name
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M.I.
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Last Name
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Address Line 1
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Address Line 2
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City
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State
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Zip Code
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E-mail Address
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Phone
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Age
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If you are under 18, do you have a work permit?
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If you have worked under another name, please list it
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Level of Education
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Name and location of last school attended
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Please list any special skills or education that may be relevant to the position for which you are applying
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Your Job Interests
Position Desired
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Full Time?
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YesNo
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Part Time?
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YesNo
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Any Shift?
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YesNo
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Date you can start
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Are there any days of the week you can't work? Please specify
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Work Experience
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Are you presently employed?
YesNo
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Are you on layoff and subject to recall?
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YesNo
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If yes, where?
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1. Present or last employer
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Address
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Phone
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From
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To
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Starting position
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Final position
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Name and title of supervisor
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Pay
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$
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Reason for leaving
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Will you receive a satifactory reference from this employer?
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YesNo If no, please explain
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May we contact your employer at this time?
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If no, please explain
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2. Next previous employer
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Address
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Phone
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From
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To
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Starting position
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Final position
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Name and title of supervisor
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Pay
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$
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Reason for leaving
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Will you receive a satifactory reference from this employer?
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YesNo If no, please explain
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May we contact your employer at this time?
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If no, please explain
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3. Next previous employer
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Address
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Phone
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From
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To
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Starting position
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Final position
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Name and title of supervisor
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Pay
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$
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Reason for leaving
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Will you receive a satifactory reference from this employer?
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YesNo If no, please explain
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May we contact your employer at this time?
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If no, please explain
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Personal Information
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Do you have, or have you applied for the legal right to remain permanently and work in the United States?
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YesNo
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Have you ever been discharged or asked to resign by an employer?
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YesNo
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If yes, please explain
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A record of criminal conviction will not necessarily be a bar to employment, since Turnkey will consider factors such as age, time of offense, the nature and seriousness of the violation, and evidence of rehabilitation in making any employment decision.
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Have you ever been convicted of a crime other than minor traffic violations?
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YesNo
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If yes, please explain
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Have you ever been in the United States Armed Services?
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YesNo
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If yes, what branch?
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Please describe any skills acquired in the Service that would be useful to the job for which you are applying
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Bold = Required field
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