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It captures the position being applied for, available start date, desired pay, employment type, and shift availability by weekday. The form also records education, licenses and skills, employment history with responsibilities and reasons for leaving, and reference contacts. 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Answer all questions. Sign and date the form.  \nPERSONAL INFORMATION:  \n\n| Name |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| Address |  |  | City |  | State | Zip |\n| Phone | Mobile |  |  | E-mail |  |  |\n| Are you 18 or\u003Cbr>older? | Yes\u003Cbr>No | Are you 21 or older? Yes\u003Cbr>No |  |  |  |  |\n| Are you a US citizen? | Yes\u003Cbr>No | Have you ever been\u003Cbr>convicted of a felony? |  |  | Yes (please explain)\u003Cbr>No |  |\n\nPOSITION  \n\n| Position you are applying for |  | Available start date |  | Desired pay |  |\n| --- | --- | --- | --- | --- | --- |\n| Employment desired | 􀀀 Full Time |  | 􀀀 Part Time |  | 􀀀 Seasonal / Temporary |\n\nSHIFT AVAILABILITY  \n\n|  | Mon | Tues | Wed | Thurs | Fri | Sat | Sun |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| From |  |  |  |  |  |  |  |\n| To |  |  |  |  |  |  |  |\n\nEDUCATION  \n\n| School Name | Location | Years Attended | Degree Received | Major |\n| --- | --- | --- | --- | --- |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n\nSkills and Qualifications: Licenses, Skills, Training, Awards  \n_____________________________________________________________________________  \n_____________________________________________________________________________  \nEMPLOYMENT HISTORY:  \n\n| Employer | Salary |  |\n| --- | --- | --- |\n| Address |  |  |\n| Supervisor | Phone number |  |\n| Position / Title | From | To |\n| Responsibilities |  |  |\n| Reason for leaving |  |  |\n\n\n| Employer | Salary |  |\n| --- | --- | --- |\n| Address |  |  |\n| Supervisor | Phone number |  |\n| Position / Title | From | To |\n| Responsibilities |  |  |\n| Reason for leaving |  |  |\n\nMay We Contact Your Present Employer?  \nYes   No    \nReferences:  \nName/Title Address Phone  \n_____________________________________________________________________________  \n_____________________________________________________________________________  \n_____________________________________________________________________________  \nI certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.  \nSignature  Date","cbCaicQ0e3mUTx7Z","https://ap.wps.com/l/cbCaicQ0e3mUTx7Z","pdf",253312,"English","# Personal Information\n# Position\n# Shift Availability\n# Education\n## Skills and Qualifications\n# Employment History\n## References\n# Certification and Signature","[{\"question\":\"What personal information is requested on the form?\",\"answer\":\"The form requests name, address, city/state/zip, phone, mobile, email, and eligibility questions such as whether the applicant is 18 or older, 21 or older, a US citizen, and whether they have been convicted of a felony.\"},{\"question\":\"How does the form collect job and scheduling preferences?\",\"answer\":\"It asks for the position applied for, available start date, desired pay, employment type (full time/part time/seasonal/temporary), and shift availability with times from and to for each weekday.\"},{\"question\":\"What must the applicant provide at the end of the form?\",\"answer\":\"The applicant must certify that the information is true and complete, authorize verification of listed information, and then sign and date the form.\"}]","Job Application Form - Complete and Sign | PDF",1789826982]