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Application for Employment

(Pre-Employment Questionnaire)(An Equal Opportunity Employer)

Personal Information

Date

Name: *

Present Address: *

Permanent Address: *

Phone Number: *

are you 18 years or older?* yes no

are you prevented from lawfully becoming employed in this country because of visa or immigration status?* yes no

Employment Desired

Position: * Date You Can Start: * Desired Salary: *

Are You Employed Now? *

If so May We Inquire Of Your Present Employer? *

Ever Apllied To this company before? * Where? When?

Referred by *

Education Details *

Education	Name and Location of school	* no of years attended	* did you graduate?
grammar school	Insert grammar School location name	Insert no. of years attended	Insert if you are graduated
high school	Insert High School location name	Insert no. of years attended	Insert if you are graduated
college	Insert College location name	Insert no. of years attended	Insert if you are graduated
trade,business or correspondence school	Insert College location name	Insert no. of years attended	Insert if you are graduated

General *

activities: * exclude organizations, the name of which indicates the race, creed, sex, age, marital status, color or nation of origin of its members.

* This form has been revised to comply with the provisions of the Americans with the Disablities Act and the th efinal regulations and interpretive guidence promulgated by the EEOC on July 26, 1991.

Former Employers * (list below last three employers, starting with the last one first)

	date, moth and year	name and address of employer	salary	position	reason for leaving
from Enter from date	to Enter to date	Enter name and address	Enter salary	Enter position	Enter reason for leaving
from	to
from	to

References * give the names of three persons not related to you, whom you have known at least one year.

name	address	business	years acquainted
Enter first reference name	Enter first reference address	Enter first reference business	Enter reference year

the following statement applies in: Maryland & Massachusetts.

(Fill in name of states)
it is unlawful in the state of to require or administer a lie detector test as a subject to criminal penalties and civil liability

signature of applicant

in case of emergency notify *

Name:

Address:

Phone Number:

"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions or misrepresentations are discovered. My application may be rejected and, if I am employed, My employment may be terminated at any time.
In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any by the company. I understand that no company representative, other than it's president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing."

Date *

Signature *

Mars Cheese Castle

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Application for Employment

(Pre-Employment Questionnaire)(An Equal Opportunity Employer)

ON-LINE STORE

ABOUT US

STORE LOCATION

STORE HOURS:

Holiday Hours:

Application for Employment

(Pre-Employment Questionnaire)(An Equal Opportunity Employer)

ON-LINE STORE

ABOUT US

STORE LOCATION

STORE HOURS:

Holiday Hours:

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