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EMPLOYEE INFORMATION
*
Indicates required field
Name
*
First
Last
Position applying for
*
Telephone
*
Email
*
Alt Telephone
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Are you able to perform the essential functions of the position with or without any accommodations?
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Yes
No
I am legally elegible for employment in the U.S.?
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Yes
No
If necessary for the job you're older than:
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18
19
21
If neccesary for the job, I am able to work overtime
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Yes
No
If neccesariy for the job I am able to provide a valid Florida Driver's License?
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Yes
No
If neccesary for the job, I am able to work the following shifts: (check all that apply)
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Any
Day
Night
Rotating
Split
I am seeking permanent position
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Yes
No
When will you be able to start working after notified that you are hired? (Type days)
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EMPLOYMENT HISTORY
List most recent employer first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, in the summary following this section. No more than ten years history recommended.
1) Employer name and adress
*
1) Pay $ and frecuency (weekly, monthly, daily)
*
1) Position title/duties, skills
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1) Job Start date
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1) job End Date
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1) Reason for leaving
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2) Employer name and adress
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2) Pay $ and frecuency (weekly, monthly, daily)
*
2) Position title/duties, skills
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2) Job Start Date
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2) Job End Date
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2) Reason for leaving
*
3) Employer name and adress
*
3) Pay $ and frecuency (weekly, Monthyl, Daily)
*
3) Position title/duties, skills
*
3) Job start date
*
3) Job end date
*
3) Reason for leaving
*
EDUCATION
In each field indicate, Institution Name, Years Completed, Field of Study, Graduate or Degree
High School
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College / University
*
Business / Technical
*
Additional
*
SKILL & QUALIFICATIONS
Other qualifications such as special skills, abilities or honors that should be considered
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Types of Computer, Software, and other equipment you are qualified to operate or repair
*
Professional licenses, certifications or registrations
*
Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employer0s attention
*
REFERENCES
List two personal references who are not relatives or former supervisors
1) Reference name
*
First
Last
1) Reference phone number
*
1) Reference Occupation
*
1) Reference Yers known
*
2) Reference name
*
First
Last
2) Reference Phone Number
*
2) Reference occupation
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2) Reference Years Known
*
CONTACT
Contact name
*
First
Last
Contact Phone number
*
Contact Adress
*
Contact Relationship
*
INFORMATION TO THE APPLICANT
As part of our procedure for processing tour employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make written requiest for information derived from the checking of your references.
If neccesary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms.
Agreement
*
I understand and agree to the information above.
Equal Employment Opportunity:
While many employer are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask you your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no effect on your application for employment.
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