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AN EQUAL UFPOURIUNIITEMrivVren HIRING FULL TIME ONLY SE SOLICITA PERSONEL ALL APPLICANTS ARE SUBJECT TO Starting $ 8 00 PRE EMPLOYMENT DRUG TEST Wage e fbr, AND CRIMINAL RECORD SEARCH Per Hour - PLUS COMMISSION PERSONAL INFORMATION FULL NAME (CAST) RST) (wiDDLE) TELEPHONE NUMBER (OAY) TELEPHONE NUMBER (NIGHT) PRESENT STREET ADDRESS PREVIOUS STREET ADDRESS PRIOR TO VOU CURRENT RODRESS [omy STATE WP CODE TOW WARY YEARS? [oir SATE IP CODE] HOW WARY YEARS? a CASEOF AN ENE RENCY NAME OF TWO PEOPLE TO CONTAET WOVE WITHVOU TEASE NV ENERGENGT, NEGF PERS TOONTCT WODOESNOT INE WT YOU SNA anime PHONE (OA wom |e | S0oND AME PHONE (A) HGH PHONE (DAY) wan ss — ren eLATIONTOYOU: ELATONSIPTOYOO ‘0 YOU NEED ACCONRODATION FOR SOREDULINS? EMPLOYMENT AVAILABILITY INFORMATION foe Pa — : suet OD pantie CD TF FIRED, ARE VOU ABLE TO PROVIDE BY WAY OF GREEN GARD, (WORK PERMIT OR CITIZENSHIP YOUR WORK ELIGIBILITY? ‘DO YOU HAVE RELIABLE TRANSPORTATION? vs) nO PLEASE DESCRIBE ——__ "WE NEED TO ASCOMIMODATE YOU I LIFTING ASSIGNMENTS F YOU WAVE PRIOR THURS 10 YOU HAVE ANY CURRENT OR PRIOR INJURIES? eel TF AEQUESTED ANE YOU WiLL To TRAVEL UP To 7 MINUTES To OTHER LOCATION RIGHT STONE ARE YOO — WAVE YOU REET CONMCTEDOFACATIE} ves CD no LD Werain Fan aac sto eaten VES: OxPLA Hoe Pet Q)rerd wa TREYOU 18 YEARS O10 OR OLDER * CONVICTIONS ARE NOT AN AUTOMATIC DISQUALIFICATION FOR EMPLOYMENT. ves) vo O EDUCATION IRE OF GH EOROOT oF INE CREE ‘COMPLETED es souESE rasa rome teas [WHAT LANGUAGES ARE YOU ABLE TO ‘SPECIALIZED SKILLS OF TRAINING SPEAK? Jcompuren sisi YAR OB TAINED. READ? ich SCHOOL OIPLOMAIN _______ MavoR, YEAR OBTAINED. ware? JcoLLeGe DEGREE IN __ won, Yea osTane. ‘CO-WORKER REFERENCES ‘NAME OF CURRENT OR PREVIOUS CO-WORKER ‘CD:WOFKERS CURRENT EMPLOYER THOME PHONE [WORK PHONE WANE OF CURRENT OR PREVIOUS COWORKER CoWORKERS CURRENT EMPLOYER HOWE PHONE WORK PHONE TWAME OF FRIEND OR RELATIVE CURRENTLY EMPLOYED WITH US? HAVE YOU PREVIOUSLY WORKED FOR SHOE GHTY OnPETONY? YES) NO Cy IF YES, AT WHICH LOCATION? wenn ee EMPLOYMENT HISTORY *** BE SURE TO RECORD ACCURATE DATES, OMISSION OF] |ANY PRIOR EMPLOYER WILL BE CONSIDERED FALSIFICATION OF APPLICATION *** GIVE COMPLETE JEMPLOYMENT RECORD, DATING BACK AT LEAST SIX YEARS, STARTING WITH YOUR PRESENT OR LAST EMPLOYER. ACCOUNT FOR ALL TIMES YOU WERE UNEMPLOYED OR SELF EMPLOYED. IF YOU’VE HAD MORE THAN FOUR JOBS IN THE LAST SIX YEARS PLEASE ATTACH A SEPARATE PAGE OR RESUME. FROM MOWR TO MOTYR, CURAENTIPREVIOUS EMPLOYER'S NAVE [TYPE GF BUSINESS POSTONTTLE SAAR Ens Nis STREET ADDRESS [AREA CODEITELEPAONE NUNGER unsOR OUTIES ea WHY WERE YOU ONGHARGED? PLEASE BE DESCRIPTIVE) ror SRE ZPOODE NAMES OF TWO IMMEDIATE SUPERSORS TUR WE CONTAGT? —] WHY NOT OR WHY YES? = 1) 2 vesQ no ami [FROM MOVR TO MONA [CURRENTIPREVIOUS EMPLOYERS NAME [TYPE OF BUSINESS POsMON TE SAA | star: rant: nt iss [STREET ADDRESS AREA CODETELEPFONE NOMGER [MAJOR DUTIES Ky WHY WERE YOU DISCARGED? [PLEASE BE DESCRIPTIVE) ar NE TPE TAUES OF TWO NNEDIATE SUPERUGORS TMATWE CONTACT? | WHY NOT OR WHY VEST 0 2 es Qo FROM MOR TO NOTA: CURRENTIPREVIOUS EMPLOYER'S NAME [TYPE OF BUSINESS FOSTIONTTLE SALARY star: starr: FNS nis [STREET ADDRESS [AREA CODETTELEPRONE NUMBER [WAIOR DUTIES pete [WY WERE YOU DISCHARGED? [PLEASE BE GESCATPIVE), ay SHE ZPOOE NAMES OF TWO INMEDINTE SUPERVISORS TUR WE CONTACT? | WHY NOT OR WHY YES? al = 1) 2 vesQ no | [Frownora To worn JoonnenriPnevious EMPLOYERS WaME [TYPE OF BUSINESS | POSITIONS JAR START sae: Inst [pase [STREET ADORESS AREA COOETELEPFONE NUMBER [MAJOR DUTIES ( WY WERE YOU DISCHARGED? (PLEASE GE DESCRIPTIVE) ay SIRE FP OOD TONES OF TWO NOIEDIATE SUPERVISORS MATE CONTACT? ] WHY NOT OR WHY VES? 4 2» vesQ nwo a — "AGREEMENT ease be aed tha we may also olan efrence chock anda costo opr yu Trane purposes: Ard aay tne Giving your en@loyt Tho raves check aso ‘efaed o as an investigate consumer report, may inclode inlmaton about your charac, general repuato, personal characteris and made of ng, which eer ae apical “The Fai CedtRepring Ac provides you wih he ho request, wtng win a reasonable erount tne a dscosur oo rar and Ie stop alba esate repo. Te

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