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You will not be considered for employment if you fail to completely answer all the questions on this application. You may attach a résumé, but all questions must be answered.  \n\n| “Employer” | Position applying for |\n| --- | --- |\n\n\n| PERSONAL DATA |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Name (last, first, middle) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Street Address and/or Mailing Address |  |  |  |  |  |  |  |  | City |  |  |  |  |  | State |  |  | Zip |\n| Home Telephone Number |  |  |  |  | Business Telephone Number |  |  |  |  |  |  | Cellular Telephone Number |  |  |  |  |  |  |\n| Date you can start work |  |  |  |  | Salary Desired |  |  |  |  |  |  | Do you have a High School Diploma or GED?\u003Cbr>Yes  No  |  |  |  |  |  |  |\n| POSITION INFORMATION Check all that you are willing to work |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Hours: | Full Time\u003Cbr>Part Time | |  | Days Evenings |  | | Swing Graveyard\u003Cbr>Weekends |  |  |  | |  |  | Status: |  | Regular Temporary |  | |\n| Are you authorized to work in the U. S. on an unrestricted basis? Yes  No  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.) Yes  No \u003Cbr>If yes, explain: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Have you been told the essential functions of the job or have you been viewed a copy of the job description listing the essential functions of the job?\u003Cbr>Yes  No \u003Cbr>Can you perform these essential functions of the job with or without reasonable accommodation? Yes  No  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  QUALIFICATIONS Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges,  \u003Cbr>\u003Cbr>degrees, vocational or technical programs, and military training. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | School Name |  |  |  |  |  | Degree |  | Address/City/State |  |  |  |  |  |  |  |  |\n| School |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| School |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Other |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| SPECIAL SKILLS List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  REFERENCES Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three  \u003Cbr>\u003Cbr>professional references, then list personal, unrelated references. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Name |  |  | Address/City/State |  |  |  |  |  |  |  |  |  | Phone |  |  |  | Relationship |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n\n\n| WORK HISTORY Start with your present or most recent employment and work back. Use separate sheet if necessary. (INCLUDE PAID AND UNPAID POSITIONS) |  |  |  |\n| --- | --- | --- | --- |\n| Job Title \\#1 | Start Date (mo/day/yr) |  | End Date (mo/day/yr) |\n| Company Name | Supervisor’s Name |  | Phone Number |\n| City | State |  | Zip |\n| Duties: |  |  |  |\n| Reason for Leaving |  ","cbCaii6jmbyR4lNd","https://ap.wps.com/l/cbCaii6jmbyR4lNd","pdf",105781,"English","# Personal Data\n# Position Information\n# Qualifications and Special Skills\n# References\n# Work History\n# Applicant Certification","[{\"question\":\"What information must applicants provide in the Personal Data section?\",\"answer\":\"Applicants provide name, mailing address, phone numbers, the date they can start work, salary desired, and education status such as whether they have a high school diploma or GED.\"},{\"question\":\"What questions are included in Position Information?\",\"answer\":\"The form asks applicants to indicate available work preferences (full time/part time, days/evenings, swing/graveyard, weekends) and job status (regular or temporary), plus whether they are authorized to work in the U.S. without restrictions.\"},{\"question\":\"What does the certification at the end of the application cover?\",\"answer\":\"It confirms the applicant’s statements are true and complete, authorizes investigation of facts and contact of references, and acknowledges that the company is an at-will employer where termination or resignation can occur at any time, with or without cause, and with or without notice.\"}]","Standard Application for Employment - Employment Application Form | PDF",1789306656]