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Advance MFG My WordPress Blog Menu and widgets Application for Employment Personal Information NAME * First Last PRESENT ADDRESS Street Address City State / Province / Region ZIP / Postal Code PHONE NO. * SECONDARY PHONE NO. REFERRED BY Employment Desired POSITION * DATE YOU CAN START SALARY DESIRED ARE YOU EMPLOYED NOW? Yes No IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER? Yes No ARE YOU LEGALLY AUTHORIZED TO WORK IN THE USA? * Yes No EVER APPLIED TO THIS COMPANY BEFORE? Yes No WHERE WHEN Education History - High School NAME AND LOCATION YEARS ATTENDED DID YOU GRADUATE Yes No Subjects Studied Education History - College NAME AND LOCATION YEARS ATTENDED DID YOU GRADUATE Yes No Subjects Studied TRADE, BUSINESS, OR CORRESPONDENCE SCHOOL NAME AND LOCATION YEARS ATTENDED DID YOU GRADUATE Yes No Subjects Studied General Information SUBJECT OF SPECIAL STUDY/RESEARCH WORK SPECIAL TRAINING SPECIAL SKILLS OTHER U.S. MILITARY OR NAVAL SERVICE RANK Former Employer One List below last four employers, starting with last one first FROM To NAME AND ADDRESS SALARY POSITION REASON FOR LEAVING Former Employer Two FROM TO NAME AND ADDRESS SALARY POSITION REASON FOR LEAVING Former Employer Three FROM TO NAME AND ADDRESS SALARY POSITION REASON FOR LEAVING Former Employer Four FROM TO NAME AND ADDRESS SALARY POSITION REASON FOR LEAVING References Give below the names of three persons not related to you, whom you have known at least one year. Reference One NAME ADDRESS BUSINESS YEARS KNOWN Reference Two NAME ADDRESS BUSINESS YEARS KNOWN Reference Three NAME ADDRESS BUSINESS YEARS KNOWN Authorization I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application are grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from the utilization of such information. I also understand and agree that no representative of the company has any authority to enter in any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws. AUTHORIZATION Yes, I certify to this. Captcha Proudly powered by...