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Strittmatter Employment Form - "Join Our Team"
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We are an equal opportunity employer.
Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability, or any other consideration made unlawful by applicable federal, state, or local laws.
Where did you hear about our job posting?
*
Facebook, LinkedIn, or Twitter
Indeed
Washington Post
Craigslist
Current Employee
Other
Position applied for?
*
Personal Information
First Name
*
Middle Name
*
Last Name
*
Present Address (Street, Apt. or Unit #)
*
City
*
State
*
Zip / Postal Code
*
Phone
*
Email Address
*
Desired Salary
Are you able at the time of employment to submit verification of your legal right to work in the U.S.?
Verification and completion of Form I-9 must be submitted no later than three business days after date of hire.
*
Yes
No
If under the age of 18, can you produce the necessary work certificate at the time of employment?
*
Yes
No
N/A
Type of employment desired?
*
Full-time
Part-time
If part time, specify hours:
Are you willing to work overtime?
*
Yes
No
Have you ever applied to this Company before?
*
Yes
No
If Yes, when did you apply?
Have you ever initiated an act of violence in the workplace?
*
Yes
No
If yes, please explain.
Education
Highest level of education completed?
*
High School or GED
Trade or Tech School
College
Post Graduate
School Name?
*
State
*
Availability
Days Available
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Shift preference:
*
Days
Swing (3pm-midnight)
Night (12-9am)
Any
Work History
Employer 1
Company Name
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
*
Yes
No
Phone Number
Employer 2
Company Name
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
*
Yes
No
Phone Number
Employer 3
Company Name
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
*
Yes
No
Phone Number
References
Reference 1
Name
Title
Email Address
Phone
Reference 2
Name
Title
Email Address
Phone
Reference 3
Name
Title
Email Address
Phone
Additional Skills
List any additional skills that you would like to mention.
Please submit a copy of your resume.
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