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Aubrey Silvey Enterprises
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Application For Employment
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, sexual orientation, citizenship status, genetic information or any other legally protected status.
Are you applying for a job at Aubrey Silvey Enterprises or at SEFCOR?
Are you applying for a job at Aubrey Silvey Enterprises or at SEFCOR?
Aubrey Silvey Enterprises
Are you applying for a job at Aubrey Silvey Enterprises or at SEFCOR?
SEFCOR
Position(s) applied for:
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Date of Application:
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Last Name:
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First Name:
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Middle Name:
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Address, City, State and ZIP:
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Email:
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Cell Phone:
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Social Security Number:
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How did you learn about us: Advertisement, Relative, Internet, Other, Etc.
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If you are under 18 years of age, can you provide required proof of your eligibility to work?
If you are under 18 years of age, can you provide required proof of your eligibility to work?
No
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Yes
Have you ever been employed with us before?
Have you ever been employed with us before?
No
Have you ever been employed with us before?
Yes
Do you have friends or relatives that work here?
Do you have friends or relatives that work here?
No
Do you have friends or relatives that work here?
Yes
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment)
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment)
No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment)
Yes
What is you desired salary range?
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Education
High School:
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High School Years Completed:
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Diploma/Degree
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College:
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College Years Completed:
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Diploma/Degree
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Other:
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Other Years Completed:
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Diploma/Degree
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References: List name and phone number.
Name:
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Phone Number:
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Name:
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Phone Number:
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Describe any training, certifications and skills you have including equipment or tools you know how to use:
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EMPLOYMENT EXPERIENCE
Start with your present or last job. Include any job-related military experience service assignments and volunteer activities. You may exclude organization which indicate race, color, religion, gender, national origin, disabilities or any other protected status.
Employer 1:
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Address:
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Phone:
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Job Title:
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Supervisor:
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Work Performed:
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Starting Date:
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Ending Date:
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Starting Hourly Rate/Salary:
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Final Hourly Rate/Salary:
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Reason for Leaving:
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Employer 2:
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Address:
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Phone:
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Job Title:
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Supervisor:
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Work Performed:
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Starting Date:
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Ending Date:
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Starting Hourly Rate/Salary:
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Final Hourly Rate/Salary:
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Reason for Leaving:
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Employer 3:
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Address:
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Phone:
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Job Title:
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Supervisor:
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Work Performed:
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Starting Date:
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Ending Date:
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Starting Hourly Rate/Salary:
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Final Hourly Rate/Salary:
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Reason for Leaving:
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Applicant's Statement
Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
CAN YOU PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB FOR WHICH YOU ARE APPLYING, EITHER WITH OR WITHOUT A REASONABLE ACCOMMODATION?
CAN YOU PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB FOR WHICH YOU ARE APPLYING, EITHER WITH OR WITHOUT A REASONABLE ACCOMMODATION?
No
CAN YOU PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB FOR WHICH YOU ARE APPLYING, EITHER WITH OR WITHOUT A REASONABLE ACCOMMODATION?
Yes
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 90 days. Any applicant wishing to be considered beyond this time should inquire as to whether or not applications are being accepted at that time. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.
I hereby understand and acknowledge that, if hired, unless otherwise defined by applicable law, my employment relationship with this organization would be an "at will" nature, which means employment is for an indefinite period and it is subject to termination by the employee or the company, with or without cause, with or without notice, and at any time.
Typed Signature:
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Date
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