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Old Application
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Old Application
Old Application
sky1tech
2022-06-06T10:04:39-07:00
PRE-EMPLOYMENT QUESTIONAIRE EQUAL OPPORTUNITY EMPLOYER
Personal Information
First Name
*
Last Name
*
SSN
*
Email
*
Present Address
*
Apt. No.
City
*
State
*
Zip Code
*
Permanent Address
Apt. No.
City
State
Zip Code
Are you 18 years or older?
*
Yes
No
Phone
*
Desired Employment
Position
*
Date you can start.
*
Salary Desired
*
Are you employed now? If so, where?
*
If the answer is yes, may we inquire your present employer?
Yes
No
Have you applied to this company before?
Where?
When?
Have you worked for this company before?
Where?
When?
Reason For Leaving
Name of Last Supervisor
Who referred you to this company?
Education
Grammar School
Name & Location of School
Subjects Studied
# of Years Attended
Did You Graduate?
High School
Name & Location of School
Subjects Studied
Years Attended
Did You Graduate?
College
Name & Location of School
Subjects Studied
Years Attended
Did You Graduate?
Trade, Business, or Correspondence School
Name & Location of School
Subjects Studied
Years Attended
Did You Graduate?
General Information
Subjects of Special Study or Research Work
Special Training
Special Skills
U.S. Military or Naval Service
Rank
Former Employers
(List below last three employers, starting with the most recent)
Employer 1
Position
Start Date
End Date
Salary
Name & Address of Employer
Description of Work
Reason for Leaving
May we contact your supervisor?
Yes
No
Supervisor's Name
Phone No.
Employer 2
Position
Start Date
End Date
Salary
Name & Address of Employer
Description of Work
Reason for Leaving
May we contact your supervisor?
Yes
No
Supervisor's Name
Phone No.
Employer 3
Position
Start Date
End Date
Salary
Name & Address of Employer
Description of Work
Reason for Leaving
May we contact your supervisor?
Yes
No
Supervisor's Name
Phone No.
References
Below, give the names of three persons who are not related to you, whom you have known for at least a year.
Reference 1
Name & Address
Business
Years Known
Reference 2
Name & Address
Business
Years Known
Reference 3
Name & Address
Business
Years Known
Background
Have you been convicted of a felony within the last 5 years?
*
Yes
No
If yes, please explain.
(Will not necessarily exclude you from consideration.)
Authorization
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application 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 employment and any pertinent information they may have, personal of otherwise and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by and authorized company representative."
*
By checking the box below you agree to the statement above.
I agree
Verification
Please enter any two digits
*
Example: 12
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