| Personal Information: |
| *Date: |
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| *Name: |
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| E-mail: |
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| Social Security Number: |
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| *Street Address: |
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| *City: |
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| *State: |
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| *Postal/Zip: |
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| *Phone: |
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| Drivers license number: |
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| Physical impairment: |
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| Height: |
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| Weight: |
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| How did you find out about us: |
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| Employment Desired: |
| Position: |
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| Date you can start: |
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| Are you looking for full-time, part-time, temporary? |
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*Salary Desired:
(A dollar amount must be entered - negotiable is not an option) |
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| Are you employed now? |
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| If so, may we inquire of your present employer? |
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| Have you ever applied to this company before? |
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| If yes, where and when? |
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| Referred by: |
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| Education: |
| High School (name): |
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| Location: |
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| Date completed: |
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| Trade School (name): |
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| Location: |
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| Courses completed: |
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| College (name): |
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| Location: |
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| Majored in: |
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| General: |
| Subjects of special study, special skills, activities involved in, US Military or Naval Service: |
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| Former employers: |
| * List most recent employer first |
| Name: |
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| Address: |
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| Salary: |
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| Position: |
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| Reason for leaving: |
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| * Employer 2 |
| Name: |
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| Address: |
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| Salary: |
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| Position: |
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| Reason for leaving: |
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| * Employer 3 |
| Name: |
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| Address: |
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| Salary: |
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| Position: |
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| Reason for leaving: |
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| * Employer 4 |
| Name: |
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| Address: |
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| Salary: |
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| Position: |
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| Reason for leaving: |
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| References (list up to three) |
| Name: |
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| Phone: |
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| Numer of years acquainted: |
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| Relationship: |
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| Name: |
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| Phone: |
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| Numer of years acquainted: |
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| Relationship: |
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| Name: |
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| Phone: |
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| Numer of years acquainted: |
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| Relationship: |
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| Special skills (check those that apply): |
| Shop |
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| Engine repair: |
Yes No |
| Tractors: |
Yes No |
| Mowers: |
Yes No |
| Tires/Blades: |
Yes No |
| Other: |
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| Sales |
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| Power equip: |
Yes No |
| Automobiles: |
Yes No |
| Other equipment: |
Yes No |
| Computer equipment: |
Yes No |
| Other: |
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| Office |
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| Computer: |
Yes No |
| Typing: |
Yes No |
| Bookkeeping: |
Yes No |
| Claim handling: |
Yes No |
| Other: |
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| What have we forgotten to ask you? |
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Agreement:
AI hereby affirm that the information provided on this electronic application is current, accurate and complete to the best of my knowledge. I also agree that falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date. I authorize investigation of all statements contained in this application as may be necessary in arriving at employment decision.
I understand that my employment can be terminated, with or without cause, with of without notice, at any time at the discretion of either The Mower Shop or me. I understand that no one other than the President of The Mower Shop has the authority to enter into any agreement contrary to the foregoing or make any oral assurance or promise of continued employment. This application is not intended to create, nor is it to be construed to constitute a contract between The Mower Shop and me. I understand also, that I am required to abide by all rules and regulations of The Mower Shop.
Should an offer of employment be made and accepted, I may be required to (1) sign and abide by an employee agreement which contains various obligations including but not limited to, confidentiality, assignment of patentable inventions, non-competition where permissable, and the like (2) provide proper documentation of legal right to work in the United States as required by the Immigration Reform and Control Act of 1986 (3) successfully pass a Drug and Alcohol test and a pre-employment medical evaluation where appropriate. Any offer of employment is contingent upon successful completion of the aforementioned items if required. |
| Yes, I understand the terms and conditions above |
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