First name
|
Last name
|
Email
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Position you are applying for
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What shift(s) are you available to work?
Day (7:00a.m.-3:30p.m., Mon.-Fri.)
Second (3:30p.m.-Midnight, Mon.-Fri.)
Third (Midnight-7:00a.m., Sun.-Thur.)
Day and second
Day and Third
Second and Third
All Shifts
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Expected Salary
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When can you start?
|
Phone
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Address
|
Education
|
HighSchool or G.E.D (Name,Location,Years Completed)
|
Post Highschool (Name,Location,Degree)
|
Personal References
|
Do not list relatives or former employers
Name, Address, Phone, Occupation, # of years known
|
Employment History
|
(1)Employer's Name
|
Address
|
Phone
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Name and Title of Supervisor
|
Your Job Title and Duties
|
Date Hired and Date left
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Starting and Ending Rate of Pay
|
Reason for Leaving
|
(2)Employer's Name
|
Address
|
Phone
|
Name and Title of Supervisor
|
Your Job Title and Duties
|
Date Hired and Date left
|
Starting and Ending Rate of Pay
|
Reason for Leaving
|
Skills and Knowledge
|
List and explain all that apply to manufacturing
|
List and explain all that apply to office work
|
Comments / Questions
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