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 |
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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 |
$ |
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 |
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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 |
|
Pay |
$ |
Reason for leaving |
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Will you receive a satifactory reference from this employer? |
YesNo If no, please explain
|
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 |
|
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
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May we contact your employer at this time? |
|
If no, please explain |
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Personal Information |
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?
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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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