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|\n| Last Name   | First Name   | Middle   |\n| Address   | City   | Zip  \u003Cbr>State   |\n| Phone   | Day Phone (if Different)   | Social Security Number   |\n| E-Mail Address  \u003Cbr>Fax Number   |  |  |\n\n\n| EMPLOYMENT INFORMATION   |\n| --- |\n| Position for which you are applying   |\n| If yes,please complete the information below  \u003Cbr>Are you employed at the present time?_____   |\n| Employer's Name:   |\n| Employer's Address:   |\n| Present Salary:  \u003Cbr>1.How long have you been with this employer?__   |\n| 2.If offered a position,when can you report for work?   |\n| NoL  \u003Cbr>Yes  \u003Cbr>3.If hired can you show proof ofyour legal right to work in the U.S.?   |\n| NoL  \u003Cbr>Yes  \u003Cbr>4.Have you ever been dismissed,or asked to resign from any position?   |\n| No  \u003Cbr>Yes  \u003Cbr>5.Have you ever been convicted of a felony,or a misdemeanor which resulted in  \u003Cbr>imprisonment?A yes answer to the above question does not necessarily disqualify ar  \u003Cbr>applicant from employment.   |\n| Ifyes to number 4 or 5,please explain:__   |\n\n\n| EDUCATION   |  |\n| --- | --- |\n| Please list on the following lines all schools attended and any other pertinent information about your education  \u003Cbr>Subjects Studied (if applicable)  \u003Cbr>School(s)   |  |\n| High School   |  |\n| College(Including dates attended)   |  |\n|  |  |\n\n。  \n\n| EMPLOYMENT EXPERIENCE(List most recent experience first)   |  |  |\n| --- | --- | --- |\n| Name &Address  \u003Cbr>Position(s)Held  \u003Cbr>Dates (Start-End)   |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n\n\n| REFERENCES   |  |  |\n| --- | --- | --- |\n| Name&Address (Include City,State,Zip)  \u003Cbr>Phone  \u003Cbr>Relationship   |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n|  |  |  |\n\n\n| The following section is to be completed by applicant for an OFFICE POSITION:  \u003Cbr>Can you type?____  ___  \u003Cbr>How many words per minute?________  \u003Cbr>Macintosh_____  _  \u003Cbr>Computer Skills  \u003Cbr>PC_____       __  \u003Cbr>Please provide computer and software knowledge below:   |\n| --- |\n|  |\n|  |\n|  |\n|  |\n\nI certify that all statements made herein and on the enclosed resume are true and correct to the best of myknowledge.I authorize investigation ofall statements herein recorded.I release from liability all persons andorganizations reporting information required by this application.  \n# AUTHORIZATION FOR BACKGROUND CHECK\n\n(Please read and sign this form in the space provided below.Your written authorization is necessary for completionof the application process.)  \nl,       ,hereby authorize ASTRO TECH SERVICES to  \ninvestigate my background and qualifications for purposes of evaluatingwhether l am qualified for the position for which Iam applying.Iunderstand that ASTRO TECH SERVICES willutilize an outside firm orfirms to assist it in checking such information,and I specificallyauthorize such an investigation by information services and outsideentities of the company's choice.I also understand that I may withholdmy permission and that in such a case,no investigation willbe done,and my application for employment will not be processed further.  \nSignature of EmployeeDate  \nEmployee's Name-Printed  \nFor Identification Purposes Only:  \nDate of Birth                                                          \nSocial Security Number                                        Driver's License Number                                            Current Street Address.                                                City,State,Zip Code                                            Telephone Numberr                                                  Other Names used","cbCaiuVqSwMpUfPC","https://ap.wps.com/l/cbCaiuVqSwMpUfPC","pdf",1559538,"English","# APPLICATION FOR EMPLOYMENT\n## Personal Information\n## Employment Information\n## Education\n## Employment Experience\n## References\n## Office Position Skills\n# AUTHORIZATION FOR BACKGROUND CHECK","[{\"question\":\"What sections are included in the employment application?\",\"answer\":\"The form includes personal information, employment information, education, employment experience, references, and an office-position skills section (typing and computer skills).\"},{\"question\":\"What does the applicant certify and authorize?\",\"answer\":\"The applicant certifies that statements are true and authorizes investigation of the information provided, including releasing reporting organizations from liability.\"},{\"question\":\"What is required for the background check authorization?\",\"answer\":\"The applicant must read the background check section and sign the form in the provided space to authorize ASTRO TECH SERVICES to investigate background and qualifications, potentially using outside firms.\"}]","APPLICATION FOR EMPLOYMENT - Employment Application Form - Background Check Authorization | PDF",1789841901]