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    Education

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    Miscellaneous Work Information

    Which shifts are you willing to accept?

    Which job status are you willing to accept?

    When will you be available to start work?

    Position Desired

    Have you ever been convicted of a felony law violation?

    If yes, please provide the following.




    ARE YOU IN COMPLIANCE WITH THE IMMIGRATION AND REFORM CONTROL ACT, WHICH REQUIRES YOU TO BE LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE U.S.?

    Please note that under the Immigration Reform and Control Act of 1986, you may be required to fill out a certification verifying your identity and that you are eligible for employment. You may also be required to provide certain documentation for employment.


    Work Experience


    Start with the most recent work experience. Describe all traditional, military, and volunteer work experience. Describe your
    knowledge, skills, and abilities that demonstrate your qualifications for the position for which you are applying.

    Employer 1








    Employer 2








    Employer 3









    Jobs skills


    Use the following space to provide any additional information that you think would be helpful in our evaluation of your employment application. This can include specialized training, seminars, workshops, accreditations, special achievements, or valuable skills. Include licenses held on the space provided below:








    Veteran Status


    Are you a veteran who received an honorable discharge and has:

    Served more than 180 consecutive days of fulltime active duty in the Armed Forces of the United States, including the Reserves or National Guard?

    Received a military service disability rating fixed by the U.S. Department of Veteran Affairs?

    Served during the Vietnam conflict (2/28/61-3/7/75)?


    References

    Please list professional, academic or personal references








    I hereby certify that all entries on this job application and any attachments are true and complete. I also agree and understand that any falsification of this information may result in my forfeiture of employment.
    I understand that all information on this job application is subject to verification and I consent to criminal history and background checks. I also agree that you may contact references and educational institutions on this application.

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