Plateautel

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Contact Info

Position Info

Resume and Cover Letter

Personal Info

Can you perform the essential functions of the job for which you are applying, with or without accommodation? (Required)No | Yes |

Are you legally eligible for employment in the U.S.A.? (Proof of U.S. Citizenship or immigration status will be required upon employment.) (Required)No | Yes |
Are you at least 18 years or older? (If no, you may be required to provide authorization to work) (Required)No | Yes |

Are you on a lay-off and subject to recall?(Required)No | Yes |
Will you relocate if the job requires it?(Required)No | Yes |

Will you travel if the job requires it?(Required)No | Yes |
Will you work overtime if required? (Required)No | Yes |

If position requires driving on company business, do you have a current driver’s license?(Required)No | Yes |

Referral Source (Requested for EEO purposes)


Training and Educational

List the names and addresses of the last three (3) schools attended, starting with the most recent. List high school attended and if you graduated or received GED. Do not list junior high or elementary schools attended. For college credit, list the number of semester(s) or quarter hour(s) completed. List year(s) completed if total hours are not known. Indicate the degree or diploma earned, if any.

First School

Did You GraduateNo | Yes |

Second School

Did You GraduateNo | Yes |

Third School

Did You GraduateNo | Yes |



Employment History

Current or Last Employer

May we contact for reference?No | Yes | Upon_Offer |

Second Employer

May we contact for reference?No | Yes | Upon_Offer |

Third Employer

May we contact for reference?No | Yes | Upon_Offer |

Fourth Employer

May we contact for reference?No | Yes | Upon_Offer |

Fifth Employer

May we contact for reference?No | Yes | Upon_Offer |

References

List names and addresses of three (3) business/work references who know you well and to whom we may refer (do not list relatives or family members).

Reference One

Reference Two

Reference Three


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