Position Desired:
Pay Expected: per week
Date Available:
Have you ever applied for employment with us?
Yes No If yes, month & year:
Apart from absence for religious observation,
are you available for full-time work?
Yes No
If not, what hours can you work?
Will you work overtime if asked?
Yes No
Are you legally eligible for employment in the USA?
Yes No
Where did you hear about us?
Education
College:
Course of Study:
Did you graduate?
Yes No Years completed:
Vocational/Trade School:
Course of Study:
Did you graduate?
Yes No Years completed:
High School:
Course of Study:
Did you graduate?
Yes No Years completed:
Other Education:
Course of Study:
Did you graduate?
Yes No Years completed:
Other Training/Skills:
Employment
- Company 1
Date Employed (month /year)
Job Title:
Company:
Address:
City:
State: Zip:
Supervisor Name:
Can we contact?
Yes No
Last Weekly Pay:
$
Describe Job:
Reason for leaving:
Employment
- Company 2
Date Employed (month /year)
Job Title:
Company:
Address:
City:
State: Zip:
Supervisor Name:
Can we contact?
Yes No
Last Weekly Pay:
$
Describe Job:
Reason for leaving:
Employment - Company 3
Date Employed (month /year)
Job Title:
Company:
Address:
City:
State: Zip:
Supervisor Name:
Can we contact?
Yes No
Last Weekly Pay:
$
Describe Job:
Reason for leaving:
References
Please list three professional, and one personal
reference.
Professional
Reference 1
Name:
Profession:
City: State:
Phone:
Professional
Reference 2
Name:
Profession:
City: State:
Phone:
Professional
Reference 3
Name:
Profession:
City: State:
Phone:
Personal
Reference
Name:
Profession:
City: State:
Phone:
Additional Comments:
By submitting this
application, I certify that all the information on this application is
true, correct and complete to the best of my knowledge and contains no
willful falsifications or misrepresentations. Falsifications or
misrepresentations may disqualify me from consideration for employment
with Earth Oasis Internet, LLC or, if hired, may be grounds for
termination at a later date.
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