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APPLICATION FOR EMPLOYMENT
252-441-7064 • www.stackemhighpancakesandsoforth.com
DATE OF APPLICATION_____________________________________________(to be filled out by applicant)
ACCEPTED IN HOUSE BY____________________________________________(to be filled out by us) ____/____/____
CONTACT INFORMATION
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NAME (LAST NAME FIRST)
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PREFERRED TITLE (MISS, MRS, ETC.) |
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PHYSICAL ADDRESS
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CITY |
STATE |
ZIP CODE |
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MAILING ADDRESS
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CITY |
STATE |
ZIP CODE |
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HOME PHONE NUMBER |
CELL PHONE NUMBER |
EMAIL ADDRESS |
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EMPLOYMENT DESIRED
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POSITION DESIRED
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DATE YOU CAN START |
SALARY DESIRED |
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ARE YOU CURRENTLY EMPLOYED? □ YES □ NO |
MAY WE INQUIRE OF YOUR PRESENT EMPLOYER? □ YES □ NO |
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HAVE YOU EVER APPLIED WITH US BEFORE? □ YES □ NO |
APPROXIMATE DATE OF PREVIOUS APPLICATION |
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EDUCATION HISTORY
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NAME OF SCHOOL |
YEARS ATTENDED |
YEAR OF GRADUATION IF APPLICABLE |
SUBJECTS STUDIED |
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HIGH SCHOOL
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COLLEGE
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TRADE OR
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OTHER TRAINING SCHOOL
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SPECIAL TRAINING AND/OR SKILL SETS (PLEASE USE THE SPACE BELOW AT YOUR DISCRETION)
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EMPLOYMENT HISTORY (PLEASE LIST LAST THREE EMPLOYERS, STARTING WITH LAST ONE FIRST)
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DATE |
NAME & LOCATION OF EMPLOYER |
SALARY |
POSITION |
REASON FOR LEAVING |
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FROM
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TO
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NAME OF PERSON TO BE CONTACTED TO VERIFY EMPLOYMENT AND/OR FOR REFERENCE PURPOSES
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PHONE NUMBER |
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ANY ADDITONAL COMMENTS REGARDING THIS EMPLOYMENT LISTING
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DATE |
NAME & LOCATION OF EMPLOYER |
SALARY |
POSITION |
REASON FOR LEAVING |
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FROM
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TO
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NAME OF PERSON TO BE CONTACTED TO VERIFY EMPLOYMENT AND/OR FOR REFERENCE PURPOSES
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PHONE NUMBER |
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ANY ADDITIONAL COMMENTS REGARDING THIS EMPLOYMENT LISTING
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DATE |
NAME & LOCATION OF EMPLOYER |
SALARY |
POSITION |
REASON FOR LEAVING |
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FROM
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TO
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NAME OF PERSON TO BE CONTACTED TO VERIFY EMPLOYMENT AND/OR FOR REFERENCE PURPOSES
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PHONE NUMBER |
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ANY ADDITIONAL COMMENTS REGARDING THIS EMPLOYMENT LISTING
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COMMUNITY INVOLVEMENT AND/OR VOLUNTEER ACTIVITY
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AUTHORIZATION
"I certify that the facts in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous and current employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I understand that a consumer credit report or criminal records check may be necessary prior to my employment. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the
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DATE SIGNATURE