Application
for Employment
We are an equal opportunity employer and do not
unlawfully discriminate in employment. No questions
on this application is used for the purpose of limiting
or excluding any applicant from consideration for employment
on a basis prohibited by local, state or federal law.
Equal access to employment, services, and programs is
available to all persons. Those applicants requiring
reasonable accommodations to the application and/or
interview process should notify a representative of
the organization.
*Required Form Field |
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*Applicant Name: |
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| Position: |
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Address: Street |
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| City
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State
Zip
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| *Phone: |
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| Email: |
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| Social
Security #: |
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| Drivers
License (if driving is essential job duty): |
State
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Type of employment desired Department: |
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Date you will be able to start: |
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Are you able to meet attendance requirements?
:
Yes
No
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Do you have any objections to working overtime?:
Yes
No
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Can you travel if required by position? :
Yes
No
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Have you ever been employed by our organization?:
Yes
No
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Do you have any friend or relatives employed by us?:
Yes
No
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Can you submit proof of legal employment authorization
and identity?:
Yes
No
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If you are under 18, can you furnish a work permit if
required?:
Yes
No
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Have you ever been convicted of a crime in the last 7
years?:
Yes
No
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If yes, please explain (a conviction will not automatically
bar employment):
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March Performance is moving to Fort Myers Florida in 2005,
Would you be able to make this move?:
Yes
No
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Employment
History
Please provide all employment information for
the past three employers starting with the most recent. |
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Employer1: |
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| Position
Held: |
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Address: Street |
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| City
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State
Zip
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| Phone: |
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| Immediate
Supervisor and title: |
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| Date
employed: |
to
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| Job
Summary : |
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Reason for leaving: |
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Employer2: |
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| Position
Held: |
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Address: Street |
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| City
|
State
Zip
|
| Phone: |
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| Immediate
Supervisor and title: |
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| Date
employed: |
to
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| Job
Summary : |
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Reason for leaving: |
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Employer3: |
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| Position
Held: |
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Address: Street |
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| City
|
State
Zip
|
| Phone: |
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| Immediate
Supervisor and title: |
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| Date
employed: |
to
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| Job
Summary : |
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Reason for leaving: |
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Other Job Skills and Qualifications
Summarize any job-related training, skills, licenses,
certificates and/or other qualifications: |
| Other
Job Skills: |
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Educational History
List school name and location, years completed, course
of study and any degrees earned: |
| High
School : |
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| College
: |
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| Technical
Training: |
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| Other: |
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References
List two references names (do not include relatives or
employers): |
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Name1: |
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| Years
Known : |
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Phone Number |
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Name2: |
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| Years
Known : |
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Phone Number |
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Goals, Personal Skills and Hobbies
Summarize any non-job related personal goals, hobby acquired
skills or other personal skills: |
| Other
Personal Skills: |
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I hereby authorize the potential employer to contact,
obtain, and verify the accuracy of information contained
in this application from all previous employers, educational
institutions, and references. I also hereby release from
liability the potential employer and its representatives
for seeking, gathering, and using such information to
make employment decisions and all other persons or organizations
for providing such information.
I understand that any misrepresentation or material
omission made by me on this application will be sufficient
cause for cancellation of this application or immediate
termination of employment if I am employed, whenever
it may be discovered.
If I am employed, I acknowledge that there is no specified
length of employment and that this application does
not constitute an agreement or contract for employment.
Accordingly, either I or the employer can terminate
the relationship at will, with or without cause, at
any time, so long as there is no violation of applicable
federal or state law.
I understand that it is the policy of this organization
not to refuse to hire or otherwise discriminate against
a qualified individual with a disability because of
that persons need for a reasonable accommodation as
required by the ADA.
I also understand that if I am employed, I will be
required to provide satisfactory proof of identity and
legal work authorization within three days of being
hired. Failure to submit such proof within the required
time shall result in immediate termination of employment.
I represent and warrant that I have read and fully
understand the foregoing, and that I seek employment
under these conditions. |
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