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Application For Employment

The document is an application for employment that collects an applicant's personal information such as name, address, phone number, social security number, and availability. It asks if the applicant has a valid driver's license, work certificate if a minor, legal right to work in the US, criminal history, and certifications in CPR, first aid, and central registry clearance. The applicant must sign to certify the truthfulness of their answers.

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17 views

Application For Employment

The document is an application for employment that collects an applicant's personal information such as name, address, phone number, social security number, and availability. It asks if the applicant has a valid driver's license, work certificate if a minor, legal right to work in the US, criminal history, and certifications in CPR, first aid, and central registry clearance. The applicant must sign to certify the truthfulness of their answers.

Uploaded by

api-264015665
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Learning Together

Application for Employment


Date: ____/____/_____
Name: ________________________________________________________________________
First
Middle
Last
Current Address:
______________________________________________________________________________
Street
City
State
Zip Code
Phone Number: (___)____-______

Social Security Number: _____________________

Position Applying For: ___________________________________________________________


Date Available to Start: ___/___/_____
Full Time: ____

Desired Salary: _________________

Part Time: ____

Do you have a valid drivers license?

Hours per week: ______________________


Yes: _____

No: _____

If you are a minor, can you produce the work certificate necessary to obtain employment?
Yes: _____

No: _____

Are you able, at the time of employment, to submit verification of your legal right to work in the
U.S.?
Yes: _____
No: _____
Have you ever been convicted of a felony:

Yes: _____

No: _____

If yes, please explain: ____________________________________________________________


______________________________________________________________________________

Do you have an updated (1 year) tuberculosis test?

Yes: _____

No: _____

Do you have a current CPR and First Aid Card?

Yes: _____

No: _____

Do you have an updated (1 year) Central Registry Clearance?

Yes: _____

No: _____

By signing below you certify that all above answers are truthful.
_______________________________________________________

Adapted from Rebeccas Learning Center

Date: ____/____/____

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