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Name
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Address
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State
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Date of Birth
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Primary Number
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Secondary Number
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Email
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Cover Letter
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When are you available to begin?
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Employment Desired:
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Full-Time
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Hourly/Salary Desired:
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Are you currently employed?
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If so, may we contact your current employer?
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Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment)
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Are you at least 18 years or older? (If no, you may be required to provide authorization to work)
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Have you ever been convicted of a felony or a misdemeanor which resulted in imprisonment within the last seven years? (A conviction will not necessarily result in the denial of employment)
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If yes, please explain:
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Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?
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If no, please explain:
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References
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Employment History
Employer 1
Dates Employed
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Employer Name & Address
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Business Name
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Business Address
Employer Phone
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Job Title
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Supervisor Name & Title
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Name
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Title
May we contact them?
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Responsibilities
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Reason For Leaving:
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Salary/Hourly Rate:
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Employer 2
Dates Employed
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From
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To
Employer Name & Address
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Business Name
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Business Address
Employer Phone
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Job Title
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Supervisor Name & Title
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Name
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Title
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Responsibilities
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Reason For Leaving:
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Salary/Hourly Rate:
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The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.
I understand and agree to Silva Built Construction, Inc. proceeding with a criminal background investigation. I also understand that upon employment, I may be subject to random drug test.
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.
I understand that I am required to abide by all rules and regulations of the company.
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We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.
The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.
Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
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Race/Ethnicity:
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Please be sure to complete all sections with a red asterisks or the application will not be submitted and/or accepted.
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