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E. D. |  |  |  |\n| Vocational/Trade |  |  |  |\n| College |  |  |  |\n| Graduate School |  |  |  |\n| U.S. Armed Forces |  |  |  |\n| Other |  |  |  |\n\n\n| Of which job related technical, professional, trade or other organizations are you a member? |\n| --- |\n|  |\n\n\n| General Work Information |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Current Employment Status: Employed Full Time Employed Part Time Employed Temporary\u003Cbr>Unemployed |  |  |  |  |  |  |  |  |  |  |  |\n| Date available for work: |  |  |  |  |  |  | Can you work overtime? |  |  | Yes | No |\n| Specify availability (days & hours): |  |  |  |  |  |  |  |  |  |  |  |\n| Are you over 18 years of age? Yes No If not, can you provide any required work permit? Yes No |  |  |  |  |  |  |  |  |  |  |  |\n| Are you authorized to work in the United States? Yes No\u003Cbr>If you are a resident alien, give your alien number on your Alien Registration Receipt Card (INS Form 1-151 or I-551): |  |  |  |  |  |  |  |  |  |  |  |\n| Have you ever been convicted of a felony criminal offense? If yes, please explain: |  |  |  |  |  |  |  | Yes | No |  |  |\n| Do you currently use any illegal drugs? If yes, please explain: |  |  | Yes |  | No |  |  |  |  |  |  |\n| What has been your most enjoyable work (in any job) that you’ve held? Explain: |  |  |  |  |  |  |  |  |  |  |  |\n| Have you ever worked here before? |  | Yes |  | No |  | If yes, specify: |  |  |  |  |  |\n| Have you ever applied for a job here? |  | Yes |  | No |  | If yes, specify: |  |  |  |  |  |\n\n\n| Previous Employer \\#1 |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| Business Name: |  |  | Business Street Address, City, State, Zip Code: |  |  |  |\n| Business Phone Number: |  | Supervisor’s Name: |  |  | Start Date: | End Date: |\n| Your Title: |  |  | Your Responsibilities: |  |  |  |\n| Reason for Leaving: |  |  |  | Professional Reference Name: |  | May We Contact Now?\u003Cbr>Yes No |\n\n\n| Previous Employer \\#2 |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| Business Name: |  |  | Business Street Address, City, State, Zip Code: |  |  |  |\n| Business Phone Number: |  | Supervisor’s Name: |  |  | Start Date: | End Date: |\n| Your Title: |  |  | Your Responsibilities: |  |  |  |\n| Reason for Leaving: |  |  |  | Professional Reference Name: |  | May We Contact Now?\u003Cbr>Yes No |\n\n\n| Previous Employer \\#3 |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| Business Name: |  |  | Business Street Address, City, State, Zip Code: |  |  |  |\n| Business Phone Number: |  | Supervisor’s Name: |  |  | Start Date: | End Date: |\n| Your Title: |  |  | Your Responsibilities: |  |  |  |\n| Reason for Leaving: |  |  |  | Professional Reference Name: |  | May We Contact Now?\u003Cbr>Yes No |\n\n\n| Job-Related Information |  |\n| --- | --- |\n| NOTE: Before completing the following portion, applicants should first determine the position you are applying for and should then consult our Company’s description of some of the essential functions that bear a demonstrable relationship to successful job performance for each category of job. |  |\n| For which job category or position are you applying? (If more than one, list them in order of preference) . |  |\n| Is there anything, with or without reasonable accommodation, that would prevent you from performing the essential functions of the position or positions for which you are applyi","cbCaidtmP9w2adw0","https://ap.wps.com/l/cbCaidtmP9w2adw0","pdf",963388,"English","# Pre-Employment Application\n## Applicant Details\n## General Work Information\n## Previous Employers\n## Job-Related Information\n## References and Signature & Disclaimer","[{\"question\":\"What information does the form collect about the applicant?\",\"answer\":\"It collects name, home address, phone numbers, emergency contact, education, and speciality areas.\"},{\"question\":\"Which work-eligibility questions are included?\",\"answer\":\"It asks availability, overtime capability, age and work permit status, authorization to work in the United States, and disclosures regarding felony convictions and illegal drug use.\"},{\"question\":\"What sections are needed for references and prior employment?\",\"answer\":\"It provides three previous employer sections and three reference sections, each with contact details, plus a signature and disclaimer confirming the information is accurate and complete.\"}]","Grossnickle Pre-Employment Application Form - Complete and Sign | PDF",1789823938]