Rec Job Application
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Position Applied For *
Social Security Number *
First Name *
Last Name *
Home Phone/Cell Phone *
Email Address *
Highest Degree Earned *
Emergency Contact/Relationship/Name *
Previous Employment Dates/Employer Name & Address/Supervisor's Name/Job Title *
Please list reason(s) for leaving your previous employment. *
School Name/Location/Dates Attended/Diploma *
Please list the names and phone numbers of three references. *
Please write a short paragraph detailing special skills you possess that will contribute to your success in the job for which you are applying. *
Are you comfortable with Microsoft Office? How are your computer skills in general? *
Do you have any condition, mental or physical, that would prevent you from performing the job duties outlined in the job description for the position for which you are applying? *
The job descriptions are listed at the top of this page.
If Yes, please describe condition in detail.
Have you ever been convicted of a felony *
If yes, please explain.
DO YOU AGREE WITH DISCLOSURE STATEMENT? In connection with your application for employment, we may procure a consumer report on you as part of the process of considering your candidacy as an employee. This report, or reference check, may include a background investigation to check for criminal or civil convictions, credit check, a driving background check and other information deemed necessary based upon the position for which you are applying. The Fair Crediting Report Act gives you specific rights in dealing with consumer reporting agencies. You will be given a summary of these rights with this document. By your signature below, you hereby authorize us to obtain a consumer report and/or investigative report about you in order to consider you for employment. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at this time. *
DO YOU AGREE WITH APPLICATION STATEMENT?I hereby understand and acknowledge that unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means the Employee may resign at any time and Employer may discharge Employee at any time with or without cause. It is further understood this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.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 certify that answers given herein are true and complete to the best of my knowledge. *
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