| 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? |
YesNo |
| Part Time? |
YesNo |
| Any Shift? |
YesNo |
| 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 |
Are you presently employed?
YesNo |
| Are you on layoff and subject to recall? |
YesNo |
| 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 |
|
| 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 |
$ |
| Reason for leaving |
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| Will you receive a satifactory reference from this employer? |
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 |
|
| To |
|
| Starting position |
|
| Final position |
|
| Name and title of supervisor |
|
| Pay |
$ |
| Reason for leaving |
|
| Will you receive a satifactory reference from this employer? |
YesNo If no, please explain
|
| May we contact your employer at this time? |
|
| If no, please explain |
|
| 3. Next previous employer |
|
| Address |
|
| Phone |
|
| From |
|
| To |
|
| Starting position |
|
| Final position |
|
| Name and title of supervisor |
|
| Pay |
$ |
| Reason for leaving |
|
| Will you receive a satifactory reference from this employer? |
YesNo If no, please explain
|
| May we contact your employer at this time? |
|
| If no, please explain |
|
| 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? |
|
YesNo |
| Have you ever been discharged or asked to resign by an employer?
|
|
YesNo |
| 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? |
YesNo |
| If yes, please explain |
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| Have you ever been in the United States Armed Services? |
YesNo |
| 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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