Jobs

Applicant's Information
Applicant's Name (required)
Applicant's Address
Applicant's Email
No of Years at the Address
Day Time Phone
Evening Time Phone
Best Time To Call
Emergency Contact
Who should be contacted if you are involved in emergency?
Contact Name
Relationship to you
Address
Daytime Phone
EveningPhone
Job Details
Job Position Applied For
Salary Desired per month (Enter in USD)
Are you atleast 18 years old  Yes No
How will you get to work
Driver's license no
What state issued your license
if you are offered employment, when would be available to work?
Are you legally eligible for employment in the United States  Yes No
Are you able to perform the essential functions of the job position with or without reasonable accommodation?  Yes No
What reasonable accommodation, if any , would you require
Applicant's Skills
Skills Years Of Experience Ability or Rating
 Word Processing Simple Construction GPS use Customer Service


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Applicant's Employment History

List your current or most recent employment first

Employer 1
Employer Name
Address
City / State / Zip
Job Details
Reason for leaving
Dates of Employment (Month/ Year)
 

Employer 2
Employer Name
Address
City / State / Zip
Job Details
Reason for leaving
Dates of Employment (Month/ Year)
 

Employer 3
Employer Name
Address
City / State / Zip
Job Details
Reason for leaving
Dates of Employment (Month/ Year)
 
Applicant's Education and Training
College Name and Address
Did you receive a degree?  Yes No
High School Name and Address
Last Grade  9 10 11 12
Diploma?  Yes No
Other Training (graduate, technical, vocational)
Awards, Honors, Special Achievements
References

List any two persons who would be willing to provide a reference for you

Reference01
Name
Address
City / State / Zip
Telephone
Relationship
 

Reference02
Name
Address
City / State / Zip
Telephone
Relationship
 
Please provide any other information that you believe should be considered
CERTIFICATION

I certify that the information provided on this Application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my Application, or if employment commences, immediate termination.

I authorize The RAW Data to contact former employers and educational organizations to fully and freely communicate information regarding my previous emplyment, attendance, and grades, I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of teh organization by its President, the employment relationship will be entirely voluntary in nature. In other words, with appropriate notice, I will have the full and complte discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer would have the same right. Morever, no agent, representative, or employee of The RAW Data. except in a specific written contract of employment signed on behalf of the organization by its President, has the power to alter or vary the voluntary nature of the emplyment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS

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