Name: *
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Address: *
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Apt #:
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City: *
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State: *
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Zip: *
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Email: *
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Phone: *
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Other Phone:
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Date Available:
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Desired Wage:
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Position(s) Applying For: *
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Referred By:
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Type of Employment Desired:
Full Time
Part Time
Internship
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Are you at least 18 years of age?
Yes
No
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If no, can you provide a work permit?
Yes
No
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Are you a citizen of the United States?
Yes
No
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If no, are you authorized to work in the U.S.?
Yes
No
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Have you ever worked for this company?
Yes
No
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If so, when?
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Have you ever been convicted of a crime?
Yes
No
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If yes, explain
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EDUCATION
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School #1:
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Major
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From:
To:
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Did You Graduate?
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Degree:
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School #2:
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Major
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From:
To:
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Did You Graduate?
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Degree:
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School #3:
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Major
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From:
To:
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Did You Graduate?
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Degree:
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REFERENCES
Please list three professional references (individuals not related to you). |
Full Name #1:
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Relationship:
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Company:
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Phone:
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Address:
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City
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State:
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Zip:
|
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Full Name #2:
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Relationship:
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Company:
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Phone:
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Address:
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City
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State:
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Zip:
|
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Full Name #3:
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Relationship:
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Company:
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Phone:
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Address:
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City
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State:
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Zip:
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EMPLOYMENT HISTORY
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Employer #1:
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Phone:
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Address:
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Supervisor:
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Starting Salary:
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Ending Salary:
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Job Title
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Responsibilities:
|
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From:
To:
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Reason for Leaving:
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May we contact for a reference?
Yes
No
|
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Employer #2:
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Phone:
|
Address:
|
Supervisor:
|
Starting Salary:
|
Ending Salary:
|
Job Title
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Responsibilities:
|
|
From:
To:
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Reason for Leaving:
|
May we contact for a reference?
Yes
No
|
|
Employer #3:
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Phone:
|
Address:
|
Supervisor:
|
Starting Salary:
|
Ending Salary:
|
Job Title
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Responsibilities:
|
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From:
To:
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Reason for Leaving:
|
May we contact for a reference?
Yes
No
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ADDITIONAL INFORMATION
Summarize any special training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.
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COMPUTER SKILLS
Please mark the appropriate box to indicate how proficient you are with each of the following software packages. |
Microsoft Word
Advanced
Intermediate
Basic
None
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Microsoft Excel
Advanced
Intermediate
Basic
None
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Microsoft Outlook
Advanced
Intermediate
Basic
None
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Microsoft PowerPoint
Advanced
Intermediate
Basic
None
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Microsoft Publisher
Advanced
Intermediate
Basic
None
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Microsoft Access
Advanced
Intermediate
Basic
None
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Internet Explorer
Advanced
Intermediate
Basic
None
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Other (please list below including accounting or graphic design software):
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ATTACH YOUR RESUME
Valid file types are: pdf, doc, docx
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APPLICANT STATEMENT
I certify that the information I have submitted above together with that contained in any accompanying documents by which I am attempting to induce Saving Without Sacrifice (SWS) to hire me (including a resume, any addendum to this application or letters of reference) is accurate and complete and may be relied upon for the purpose of evaluating my suitability to be employed by SWS.
I authorize any reference listed in my application or my resume (including addendums thereto), as well as former employers, to release any information they may have regarding my character, my fitness for the job for which I am applying and my employment history.
I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application or (ii) immediately discharge me from SWS, when it is discovered.
I understand that if employed by SWS, my employment is not guaranteed for any term, and my employment may be terminated by SWS or myself at any time and for any reason. No manager, supervisor or representative of SWS is authorized to make an oral or written assurance or promise of continued employment.
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Your Name:
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Date:
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* = required
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