Online Application for Employment

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability,  marital or veteran status, sexual orientation, or any other legally protected status.

Position(s) Applied for: Date:

Last Name: First Name: Middle Name:
Address: City: State: Zip:
Telephone: Email Address:
Social Security Number:

EMPLOYMENT HISTORY

Employer (most recent): Employed: From: To:
Address: City: State:
Telephone: Job Title:
Stating Compensation: Ending Compensation:
Reason for leaving:
May we contact them: Yes No Contact Name:

Employer: Employed: From: To:
Address: City: State:
Telephone: Job Title:
Stating Compensation: Ending Compensation:
Reason for leaving:
May we contact them: Yes No Contact Name:

Employer: Employed: From: To:
Address: City: State:
Telephone: Job Title:
Stating Compensation: Ending Compensation:
Reason for leaving:
May we contact them: Yes No Contact Name:

If you are under 18 years of age can you provide required proof of your eligibility to work? Yes No
Have you ever filed an application with us before? Yes No
If Yes, give date:

Have you ever been employed with us before? Yes No
If Yes, give date:

Are you currently employed? Yes No
May we contact your present employer? Yes No

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Yes No
 Proof of citizenship or immigration status will be required upon employment.

On what date would you be available for work?
Are you available to work: Full Time Part Time Shift Work Temporary
Are you currently on "lay-off" status and subject to recall? Yes No
Can you travel if a job requires it? Yes No
Have you been convicted of a felony within the last 7 years? Yes No
 Conviction will not necessarily disqualify an applicant from employment.
 If yes, please explain:

Additional Information

Other Qualifications:
Summarize special job-related skills and qualifications acquired from employment or other experience.

SKILLS AND QUALIFICATIONS            Check Skills / Equipment Operated

Word   
Excel
 Internet Explorer
 Windows XP 		Other (list):


EDUCATION BACKGROUND

School: Number of years completed:
Level of Completion: Course of Study:


State any additional information you feel may be helpful to us in considering your application:

Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied?  A description of the activities involved in such a job or occupation attached.
 Yes No

References

1. Name: Phone Number:
    Address: City: State: Zip:

2. Name: Phone Number:
    Address: City: State: Zip:

3. Name: Phone Number:
    Address: City: State: Zip:

 

 

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Email: info@CheckAdvanceInc.com  

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