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ARE YOU 18 YEARS OR OLDER? Yes ❑ No ❑ |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n| ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED\u003Cbr>IN THIS COUNTRY BECAUSE OF VISA OR IMMIGRATION STATUS? Yes ❑   No ❑   |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n| EMPLOYMENT DESIRED |  |  |  |  |  |  |\n| POSITION | DATE YOU CAN START |  | SALARY DESIRED |  |  |  |\n| IF SO MAY WE INQUIRE\u003Cbr>ARE YOU EMPLOYED NOW? OF YOUR PRESENT EMPLOYER? |  |  |  |  |  |  |\n| EVER APPLIED TO THIS COMPANY BEFORE? WHERE? WHEN? |  |  |  |  |  |  |\n| REFERRED BY |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n| *NO OF\u003Cbr>EDUCATION NAME AND LOCATION OF SCHOOL YEARS\u003Cbr>ATTENDED |  |  | *DID YOU\u003Cbr>GRADUATE? | SUBJECTS STUDIED |  |  |\n| GRAMMAR SCHOOL |  |  |  |  |  |  |\n| HIGH SCHOOL |  |  |  |  |  |  |\n| COLLEGE |  |  |  |  |  |  |\n| TRADE, BUSINESS OR CORRESPONDENCE SCHOOL |  |  |  |  |  |  |\n\nGENERAL  \nSUBJECTS OF SPECIAL STUDY OR RESEARCH WORK  \n\n| SPECIAL SKILLS |  |  |\n| --- | --- | --- |\n| ACTlVITIES: (CIVIC ATHLETIC ETC. ) |  |  |\n| EXCLUDE ORGANIZATIONS, THE NAME OF WHICH INDICATES THE RACE, CREED. SEX. AGE, MARITAL STATUS, COLOR OR NATION OF ORIGIN OF ITS MEMBERS. |  |  |\n| U. S MILITARY OR\u003Cbr>NAVAL SERVICE | RANK | PRESENT MEMBERSHIP IN\u003Cbr>NATIONAL GUARD OR RESERVES |\n\n*This form has been revised to comply with the provisions of the Americans with Disabilities Act  \nand the ﬁnal regulations and interpretive guidance promulgated by the EEOC on July 26. 1991.  \nTOPS FORM 3285 (92-8) (CONTINUED ON OTHER SIDE) LITHO IN U.S.A.  \nFORMER EMPLOYERS (LIST BELOW LAST THREE EMPLOYERS, STARTING WITH LAST ONE FIRST) .  \n\n| DATE MONTH AND YEAR | NAME AND ADDRESS OF EMPLOYER | SALARY | POSITION | REASON FOR LEAVING |\n| --- | --- | --- | --- | --- |\n| FROM |  |  |  |  |\n| TO |  |  |  |  |\n| FROM |  |  |  |  |\n| TO |  |  |  |  |\n| FROM |  |  |  |  |\n| TO |  |  |  |  |\n| FROM |  |  |  |  |\n| TO |  |  |  |  |\n\nWHICH OF THESE JOBS DlD YOU LIKE BEST?  \nWHAT DlD YOU LIKE MOST ABOUT THIS JOB?  \nREFERENCES: GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR.  \n\n| NAME | ADDRESS | BUSINESS | YEARS\u003Cbr>ACQUAINTED |\n| --- | --- | --- | --- |\n| 1 |  |  |  |\n| 2 |  |  |  |\n| 3 |  |  |  |\n\nTHE FOLLOWING STATEMENT APPLIES IN: MARYLAND & MASSACHUSETTS. [Fill in name of state. )  \nIT IS UNLAWFUL IN THE STATE OF   TO REQUIRE OR ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. AN EMPLOYER WHO VIOLATES THIS LAW SHALL BE SUBJECT TO CRIMINAL PENALTIES AND CIVIL LIABILITY.  \nSignature of Applicant  \nIN CASE OF  \nEMERGENCY NOTIFY  \nNAME ADDRESS PHONE NO.  \n\"I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF IAM EMPLOYED. MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME.  \nIN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE. AND WITH OR WITHOUT NOTICE, AT ANYTIME, AT EITHER MY OR THE COMPANY'S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IT'S PRESIDENT, AND THEN ONLY WHEN IN WRONG AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT ","cbCaiqQeMmdrK6jC","https://ap.wps.com/l/cbCaiqQeMmdrK6jC","pdf",11489,"English","# Personal Information\n# Employment Desired\n# Education and Skills\n# Former Employers\n# References and Certification\n# Interview and Hiring Notes","[{\"question\":\"What personal information fields are collected on this employment application?\",\"answer\":\"The form collects name, date, social security number, current and permanent addresses, phone number, and related identification details.\"},{\"question\":\"What eligibility and employment status questions are included?\",\"answer\":\"It asks whether the applicant is 18 years or older, whether lawful employment is prevented due to visa or immigration status, whether the applicant is currently employed, and whether they have applied to the company before.\"},{\"question\":\"What sections capture education, prior employers, and references?\",\"answer\":\"Education records include school names, years attended, graduation status, and subjects studied. Former employers list last three employers with dates, positions, salary, and reasons for leaving, while references require names of three non-related individuals and the time known.\"}]","Application for Employment - Pre-Employment Questionnaire | PDF",1789838288]