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Includes employment eligibility questions for work authorization in the U.S., prior work history with the employer, and felony conviction disclosure. Captures education history, multiple previous employment entries with pay, dates, responsibilities, and exit reasons, plus professional references. 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☐ YES ☐ NO* HAVE YOU EVER WORKED FOR THIS EMPLOYER? ☐ YES* ☐ NO  \n*IF YES, WRITE THE START AND END DATES:   HAVE YOU EVER BEEN CONVICTED OF A FELONY? ☐ YES* ☐ NO  \n*IF YES, PLEASE EXPLAIN:    \nEDUCATION  \nHIGH SCHOOL:   CITY / STATE:    \nFROM:   TO:    \nGRADUATE? ☐ YES ☐ NO DIPLOMA:    \nCOLLEGE:   CITY / STATE:    \nFROM:   TO:    \nGRADUATE? ☐ YES ☐ NO DEGREE:  \n_____________________  \nOTHER:   CITY / STATE:    \nFROM:   TO:   DEGREE/CERTIFICATION:    \nOTHER:   CITY / STATE:    \nFROM:   TO:   DEGREE/CERTIFICATION:    \nPREVIOUS EMPLOYMENT  \nEMPLOYER 1 :   Company / Individual  \nE-MAIL:   PHONE:   ADDRESS:  \n\n| Street Address | Apt/Suite |\n| --- | --- |\n\nCity State Zip Code  \nSTARTING PAY: $  ☐ HOUR ☐ SALARY ENDING PAY: $  ☐ HOUR ☐ SALARY JOB TITLE:   RESPONSIBILITIES:    \nFROM:   TO:    \nREASON FOR LEAVING:    \nEMPLOYER 2:   Company / Individual  \nE-MAIL:   PHONE:  \n_____________________  \nADDRESS:  \n\n| Street Address | Apt/Suite |\n| --- | --- |\n\nCity State Zip Code  \nSTARTING PAY: $  ☐ HOUR ☐ SALARY ENDING PAY: $  ☐ HOUR ☐ SALARY  \nJOB TITLE:   RESPONSIBILITIES:    \nFROM:   TO:    \nREASON FOR LEAVING:    \nEMPLOYER 3:   Company / Individual  \nE-MAIL:   PHONE:   ADDRESS:  \n\n| Street Address | Apt/Suite |\n| --- | --- |\n\nCity State Zip Code  \nSTARTING PAY: $  ☐ HOUR ☐ SALARY ENDING PAY: $  ☐ HOUR ☐ SALARY JOB TITLE:   RESPONSIBILITIES:    \nFROM:   TO:    \nREASON FOR LEAVING:    \nREFERENCES  \n(PROFESSIONAL ONLY)  \nFULL NAME:   RELATIONSHIP:    \nFirst Last  \nCOMPANY:   TITLE:    \nE-MAIL:   PHONE:    \nFULL NAME:   RELATIONSHIP:   First Last  \nCOMPANY:   TITLE:    \nE-MAIL:   PHONE:    \nFULL NAME:   RELATIONSHIP:   First Last  \nCOMPANY:   TITLE:    \nE-MAIL:   PHONE:    \nMILITARY SERVICE  \nARE YOU A VETERAN? ☐ YES ☐ NO  \nBRANCH:   RANK AT DISCHARGE:    \nFROM:   TO:    \nTYPE OF DISCHARGE:    \nIF NOT HONORABLE, PLEASE EXPLAIN:    \nBACKGROUND CHECK CONSENT  \nIF ASKED, ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK? ☐ YES ☐ NO  \nDISCLAIMER  \nApplicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered.  \nPlease complete each section EVEN IF you decide to attach a resume.  \nI, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.  \nSIGNATURE   DATE   PRINT NAME","cbCaiqVRqXGJti5G","https://ap.wps.com/l/cbCaiqVRqXGJti5G","pdf",112995,"English","# Employment / Job Application\n## Personal Information\n## Employment Eligibility\n## Education\n## Previous Employment\n## References\n## Military Service\n## Background Check Consent\n## Disclaimer & Certification","[{\"question\":\"What personal information does the form request?\",\"answer\":\"It asks for full name, address, email, phone, date available, desired pay, and the position applied for.\"},{\"question\":\"What eligibility and legal questions are included?\",\"answer\":\"The form asks whether the applicant is legally eligible to work in the U.S., whether they have previously worked for the employer, and whether they have been convicted of a felony.\"},{\"question\":\"What does the form collect about employment history and references?\",\"answer\":\"It includes education details and up to three previous employment entries with pay, dates, job title, responsibilities, and reason for leaving, plus professional references with contact information.\"}]","Employment - Job Application Form | PDF",1789821972]