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Job Application
Application For Employment
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Personal information
Today's Date
Name (last, first, middle)
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Date of birth
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Present Address
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Address, City, State, Zip Code
Home Phone
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Cell Phone
Are you a U.S. Citizen or an alien authorized to work in the U.S.?
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Email
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Do you have a valid FL driver’s license? ? Please Supply Number:
Will you submit to drug testing?
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Position Applying For:
Salary Requirement:
Education Background
High School
Name / Address
High School Dates Attended
Graduated?
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If Yes, What year did you graduate?
College/University
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College/University Dates Attended
College/University Degrees
Trade or Industrial Training
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Trade or Industrial Training Degrees/Diplomas
Trade or Industrial Training Dates Attended
Military Service
Branch of Service
Dates of Service
Duties / Special Training
1st Employment History
Starting with most recent. Click "Add" button at the bottom to add more employers (up to 3)
Employer
Dates of Employment
Address
Phone Number
Supervisor
Beginning Salary
Ending Salary
Primary Duties
Why Did You Leave?
2nd Employment History
Starting with most recent. Click "Add" button at the bottom to add more employers (up to 3)
Employer
Dates of Employment
Address
Phone Number
Supervisor
Beginning Salary
Ending Salary
Primary Duties
Why Did You Leave?
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Personal Information
Starting with most recent
Have you ever been convicted of a crime or had any traffic violations or been imprisoned during the last seven years? A conviction will not necessarily bar you from employment.
Yes
No
If yes, explain.
Names of friends or relatives employed by Earth Works
Do you have any physical/mental disabilities that may limit you performance?
Yes
No
If so, what can be done to accommodate your limitation?
1st Professional work references (not friends/family):
List three professional references who are familiar with the quality of your work, have worked directly with you, and have known you at least two years. Click "Add" button at the bottom to add more references.
Reference
Work phone
Home phone
Address
Address, City, State, Zip
Relationship
2nd Professional work references (not friends/family):
List three professional references who are familiar with the quality of your work, have worked directly with you, and have known you at least two years. Click "Add" button at the bottom to add more references.
Reference
Work phone
Home phone
Address
Address, City, State, Zip
Relationship
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Please answer the following last questions:
Please list all mechanical equipment that you can operate efficiently
Personally or professionally what are you most proud of in your life?
What other types of jobs are you interested in or currently applying for?
Why Earth Works?
What 3 adjectives define you most?
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