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Employment
PERSONAL INFORMATION
Position Applying for
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Type of Employment
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Name
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Phone
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Address
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Do you have a valid driver's license?
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Do you have:
Chauffer's license
CDL License
If you are under 18 years of age, can you provide a work permit?
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Start Date
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Salary Requirements
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Do you have a DOT Medical card?
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No
Are you legally allowed to work in the United States?
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No
Have you ever plead guilty, no contest, or been convicted of a crime?
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No
Answering "yes" to this question does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation, and position applied for will be considered.
If yes, please give date and details:
EDUCATION HISTORY
School Name
Location
Years Attended
Graduate or Degree
Major
PREVIOUS EMPLOYMENT
Dates of Employment
Position Held
Salary
Company Name
Address
Phone #
Responsibilities
Supervisor
Reason for Leaving
May we contact your previous employers?
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