Applicant Information
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Applicant Name (First and Last)
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Home Number
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Cell Phone Number
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Email
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Current Address (Number and Street)
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City
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State and Zip Code
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Referred By:
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Employment Positions
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Position Applying For:
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Are you applying for:
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What days and hours are you available:
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What date can you start working?
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Can you work on the weekends?
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Can you work evenings?
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Salary Desired:
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Personal Information
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Have you ever applied to / worked for Company before?
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If Yes, please explain (include dates)
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Do you have any friends, relatives, or acquaintances working
for Company?
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If Yes, state name and relationship:
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If hired, would you have transportation to/from work?
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Are you over the age of 18? (If under 18, hire is subject
to verification of minimum legal age.)
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| If hired, would you be able
to present evidence of your U.S. citizenship or
proof of your legal right to work in the United States?
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If hired, are you willing
to submit to and pass a controlled substance test?
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Are you able to perform the essential functions of the job
for which you are applying, either with / without
reasonable accommodation?
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If no, describe the functions that cannot be performed
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| Have you ever been convicted
of a criminal offense (felony or misdemeanor)?
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If yes, please describe
the crime - state nature of the crime(s), when and where convicted
and disposition of the case.
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(Note: No
applicant will be denied employment solely on the grounds
of conviction of a criminal offense. The date of the offense,
the nature of the offense, including any significant details
that affect the description of the event, and the surrounding
circumstances and the relevance of the offense to the position(s)
applied for may, however, be considered.)
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Education, Training and Experience
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High School:
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School Name
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School Address
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School city, state, zip:
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Number of years completed:
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Did you graduate?
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Degree/Diploma Earned
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Vocational School:
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College:
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School Name
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School Address
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School city, state, zip:
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Number of years completed:
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Did you graduate?
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Degree/Diploma Earned
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Vocational School:
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School Name
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School Address
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School city, state, zip:
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Number of years completed:
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Did you graduate?
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Degree/Diploma Earned
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Military:
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Branch
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Rank in Military
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Total Years of Service
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Skills/Duties
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| Related Duties
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Additional Information
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Do you speak, write or understand any foreign
languages?
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If yes, describe which languages(s) and how fluent of a speaker
you consider yourself to be.
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Do you have any other experience,
training, qualifications, or skills which
you feel should be brought to our attention, in the case that
they make
you especially suited for working with us?
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If yes, please
explain
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Why would you like a Coaching Position with our Company?
Comments
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