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Arizona truction & Checklist 4 ither the company or I can terminate my employment for any reason not prohibited by state or federal law. Signature: ________________________________ Date ________________ Employment Application Inshorize this company to investigate any aspect of my prior educational and employment history. Furthermore I understand that if I am hired, employment with this company is "at will," which means that etion are true and complete to the best of my knowledge. If I am employed, I understand that any false statements on this application shall be considered sufficient cause for my dismissal. I hereby aut_______________________________________ _____________________________________________________________________________________ I hereby certify that my answers and assertions set forth in this applica____________________________________________________________ Other: _____________________________________________________________________________________ _______________________________________________________________________________________________ _____________________________________________________________________________________ Languages Spoken (other than English): _________________________ Skills Please describe any skills you have in the following areas: Computer: _____________________________________________________________________________________ ____________________________________ able to work weekends? Yes Yes No No Are you willing to travel for the job? When would you be able to start? _________________________________ Desired salary: ________________ per ______________ __________________________________ How did you hear about this job? __________________________________________ What hours are you willing to work? ________________________________________ Would you ben Instruction & Checklist 3 Last Name: __________________ First Name: ________________Middle Initial: _____ POSITION INFORMATION : Position Specifications Position Applying For: ____________________________ to _________. Major: _______________________________ Degree:________________________ Special honors or awards:______________________________________________________ Employment Applicatio___________________________________________ College or University ____________________________________________________________________________ Name and Address Did you graduate? Yes No Attended from _________ Name and Address Did you graduate? Yes No Attended from __________ to _________. Major: _______________________________ Degree:________________________ Special honors or awards:___________ation:_____________________ Special honors or awards:_______________________________________________________ College or University __________________________________________________________________________________________________________________________________ Name and Address Did you graduate? Yes No Attended from __________ to _________. Specialty: ________________________ Degree or Certificto _________. Yes No If you did not graduate, did you receive your GED? Special honors or awards:______________________________________________________ Technical or Vocational School ________________________Middle Initial: _____ EDUCATION High School _____________________________________________________________________________ Name and Address Did you graduate? Yes No Attended from _________ __ ________________________________________________________________________________________________ Employment Application Instruction & Checklist 2 Last Name: __________________ First Name: ______? Title Yes No Reason for leaving: _____________________________________________________________________ _____________________________________________________________________________________________________________________________________________________ Dates of Employment:__________________ to _________________________ Supervisor:_____________________ Name _______________________ May we contact____________________ _______________________________________ Your Position: _______________________________ _________________________________________ Address: Salary: Duties:______________________________________________________________________________________ ________________________________________________________________________________________________ Prior Employer Employer: _______________________________________ May we contact? Title Yes No Reasons for Leaving:_________________________________________________________________________________________ ________________________________________________________________________________________________________________ Dates of Employment:_____________________ to _____________________________ Supervisor:_________________________ Name _____________________________________ Your Position: _______________________________ Address: _______________________________________ Salary: _________________________________________ Duties:_______________________________________________________________________________________ ________________________________________________________________________________________________ Prior Employer Employer: ____ Name _____________________________ May we contact? Title Yes No Reasons for Leaving:_________________________________________________________________________________________ _____________________:__________________________________________________________________________________________ Dates of Employment:_____________________ to _____________________________ Supervisor:______________________r Employer: __________________________________ Your Position: _______________________________ Address: _______________________________________ Salary: _________________________________________ Duties__________________ to ___________________________. Special Honors: Last Name: __________________ First Name: ________________Middle Initial: _____ EMPLOYMENT HISTORY : Present or Most Recent Employe you ever served in the U.S. Military? Yes No If yes, please provide the following information: Branch of Service: ____________________ Rank at time of separation: __________________ I served from _______________ Have you ever been convicted of a crime in the past seven years (you are not obligated to disclose sealed or expunged criminal records)? Yes No If you answered yes, please explain: Have _____ I am an U.S. Citizen or otherwise authorized to work in the United States on an unrestricted basis: Yes No If applicable, please list your visa type, visa # and expiration: ________________ above): Street and Apt. # Telephone: _________________________ City State Zip Code E-mail:________________________ Social Security #: _____-_____-______ Driver's License #: ________________ State:________________________________________________ PERSONAL INFORMATION First Name Middle Initial Last Name Current Address: Street and Apt. # City State Zip Code Permanent Address (if different fromPlease type or print your answers. If you print, please do so in blue or black ink and write neatly. An illegible application may preclude you from consideration. POSITION APPLYING FOR: ______________provide equal employment opportunities to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, physical or mental handicap or veteran status. Note: e forms is subject to the "Disclaimers and Terms of Use" found at findlegalforms.com. Employment Application Instruction & Checklist 1 APPLICATION OF EMPLOYMENT It is the policy of this company to to be and are not a substitute for legal advice. Employers should consult with their attorneys before using this application to ensure that it complies with all laws. [_] The purchase and use of thesthe applicant is hired, a copy of their employment application should be kept with their other employment records. [_] Laws vary from time to time and from state to state. These forms are not intendedons regarding the company's practice of providing equal employment opportunities; review your company's policy to ensure its accuracy. [_] The applicant should sign the employment application. [_] If Instructions & Checklist Employment Application [_] This package contains: (1) Instructions and Checklist for the Employment Application; (2) Employment Application. [_] This application makes asserti Arizona