Today's Date
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MM
DD
YYYY
Social Security Number
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What location are you applying for?
Columbus, MS
Kuna, ID
Name
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First, Middle, and Last Name
First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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(###)
###
####
Email Address
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Position Sought
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What position are you interested in?
Full Time or Part Time?
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Date Available to Start Work?
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MM
DD
YYYY
Salary / Wage Desired?
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Are you over 18 years old?
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Are you legally eligible for employment in the United States?
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Have you ever been employed by Trimjoist?
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If yes, please include positions held and dates of when you worked at Trimjoist.
Can you work more than 40 hours per week?
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Can you work shifts to include evenings and nights?
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Have you been convicted of a felony or misdemeanor in the last 7 years?
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If so, for what and will you have to miss work to see probation/parole officer?
Do you have any specialized skills to include: computer software, machine or operator?
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If so, what type of experience or certifications and how long?
List systems, skills, equipment, tools, and materials you have experience with:
May we contact your current employer?
*
If any of your employee has been under a different name, indicate name here:
Employer #1 Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Employer #1 Phone Number
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(###)
###
####
What job position did you hold with Employer #1?
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What was your hourly rate / wage at Employer #1?
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Supervisor or Contact Name at Employer #1?
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What were your duties at Employer #1?
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Were you Full Time or Part Time at Employer #1?
*
How many hours a week did you work at Employer #1?
*
Did you work shift labor at Employer #1?
*
Reason for leaving Employer #1
*
Employer #2 Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Employer #2 Phone Number
*
(###)
###
####
What job position did you hold with Employer #2?
*
What was your hourly rate / wage at Employer #2?
*
Supervisor or Contact Name at Employer #2?
*
What were your duties at Employer #2?
*
Were you Full Time or Part Time at Employer #2?
How many hours a week did you work at Employer #2?
*
Did you work shift labor at Employer #2?
Reason for leaving employer #2
*
Explain any date gaps in work history:
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Have you ever been discharged or asked to resign from a job?
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If yes, feel free to explain:
*
If no, write N/A in the field below.
High School - How many years did you complete?
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1 year of high school
2 years of high school
3 years of high school
4 years of high school
High School - Did you receive a diploma?
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G.E.D?
What school(s) did you attend and where (city / state)?
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College and/or Vocational School - How many years did you complete?
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None
1
2
3
4
What school(s) did you attend and where (city / state)?
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What was your major?
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Degree(s) earned?
List any other training or degrees.
Include school(s) attended, city / state, courses taken and/or degrees and certificates earned.
Type of License(s) Held
License Number
Expiration Date(s)
Reference #1 Name
First Name
Last Name
Reference #1 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference #1 Phone Number
(###)
###
####
Reference #2 Name
First Name
Last Name
Reference #2 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference #2 Phone Number
(###)
###
####
Reference #3 Name
First Name
Last Name
Reference #3 Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Reference #3 Phone Number
(###)
###
####
Date
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MM
DD
YYYY
