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Application for
Bullet Liner of
Central Ohio
Personal Info:
Enter a valid Email Address
Enter valid Phone number
Contact me:
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Call Me
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Are you eligible to work in the U.S?
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Yes
No
Are you at least
18 years or older
? (If no, you may be required to provide authorization to work)
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Yes
No
Have you ever been
terminated
from employment or
asked to resign
by and employer?
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Yes
No
If yes,
please provide company names and details:
Can you work any shift, such as night and day?
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Yes
No
Can you work overtime, including weekends?
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Yes
No
Are you able to perform the essential functions of the job which you are applying,
with or without
a reasonable accommodation?
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Yes
No
Employment Desires:
Soonest date you can start:
Desired hourly rate/salary:
Position you desire:
Are you
currently
employed?
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Yes
No
If so,
may we inquire of your present employer?
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No
Referal Source:
How did you
hear
about us?
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Walk In
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Referral
Other
Have you ever worked with this company before?
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Yes
No
If so,
please explain.
Do you
know
anyone who works for our company?
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Yes
No
If yes,
who?
Education:
Insitution #1:
Education Level
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Highschool
College/University
Trade, Business, or Correspondence
Name & Location of School
No. of Years Attended:
Subjects Studied/Major
Degree Received
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Yes
No
Insitution #2:
Education Level
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Highschool
College/University
Trade, Business, or Correspondence
Name & Location of School
No. of Years Attended:
Subjects Studied/Major
Degree Received
Select
Yes
No
Employment History:
*Include your last seven years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify from further consideration.
Job #1:
From:
To:
Job Title:
Employer Name:
Address:
Telephone:
Immediate supervisor and title:
Summarize the nature of work performed and job responisbilities:
Job #2:
From:
To:
Job Title:
Employer Name:
Address:
Telephone:
Immediate supervisor and title:
Summarize the nature of work performed and job responisbilities:
Job #3:
From:
To:
Job Title:
Employer Name:
Address:
Telephone:
Immediate supervisor and title:
Summarize the nature of work performed and job responisbilities:
Job #4:
From:
To:
Job Title:
Employer Name:
Address:
Telephone:
Immediate supervisor and title:
Summarize the nature of work performed and job responisbilities:
Do you have any
special skills
,
experience
and/or
training
that would enhance your ability to perform the position applied for?
If yes
, explain.
References:
*Give the names of three persons not related to you, whom you have known at least three years.
Reference #1:
Name:
Contact Info:
Company:
Years Aquainted:
Reference #2:
Name:
Contact Info:
Company:
Years Aquainted:
Reference #3:
Name:
Contact Info:
Company:
Years Aquainted:
Signature:
Date Signed:
Digital Signature:
*THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE SIGNED/DATED ABOVE.
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