Employment - SAV
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NAME:*
ADDRESS*
PHONE #:*
E-MAIL ADDRESS
IN CASE OF EMERGENCY, NOTIFY
REFERRED BY:
RELATIVES IN OUR EMPLOY:
POSITION APPLIED FOR*
FULL OR PART TIME
Full Time
Part Time
RATE OF PAY EXPECTED*
HAVE YOU EVER BEEN CONVICTED OF A FELONY?
Yes
No
IF YES, PLEASE EXPLAIN:
EDUCATION:
HIGHEST LEVEL OF EDUCATION: (Please choose from drop down list)*
-
1st Year High School
2nd Year High School
3rd Year High School
4th Year High School
1st Yr College/Trade School
2nd Yr College/Trade School
3rd Yr College/Trade School
4th Yr College/Trade School
LAST SCHOOL ATTENDED:*
EMPLOYMENT HISTORY:
LAST EMPLOYER: Company Name*
Address:*
Supervisor's Name:*
Best Contact:
Okay to Contact?
Yes
No
Position Held:*
Salary:
Dates Employed:*
Reason for Leaving:*
PREVIOUS EMPLOYER: Company Name:
Address:*
Supervisor's Name:*
Best Contact:
Okay to Contact?
Yes
No
Position Held:*
Salary:
Dates Employed:*
Reason for Leaving:*
PREVIOUS EMPLOYER: Company Name:
Address:
Supervisor's Name:
Best Contact:
Okay to Contact?
Yes
No
Position Held:
Salary:
Dates Employed:
Reason for Leaving:
PLEASE DETAIL ANY SPECIAL TRAINING, QUALIFICATIONS OR EXPERIENCE:
TO BE READ AND ACKNOWLEDGED BY APPLICANT:
*
I certify that the information contained in this application is correct to the best of my knowledge. I understand that to falsify information is grounds for refusing to hire me or for discharge should I be hired. I authorize any person, organization, or company listed on this application to furnish you any and all information confirming my previous employment, education, and qualifications for employment unless specifically stated. I also authorize you to request and receive such information. In consideration for employment, I agree to abide by the rules and regulations of SAV, which may be changed, withdrawn, added or interpreted at any time at SAV's sole option and without prior notice.
I agree
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