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Application 1

This document is an application for employment that collects personal information, employment history, and references from the applicant. It includes sections for the applicant's availability, accommodations needed, and a general notice regarding the authorization of background checks. The applicant must certify the accuracy of the information provided and sign the application.

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everydayjames16
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27 views2 pages

Application 1

This document is an application for employment that collects personal information, employment history, and references from the applicant. It includes sections for the applicant's availability, accommodations needed, and a general notice regarding the authorization of background checks. The applicant must certify the accuracy of the information provided and sign the application.

Uploaded by

everydayjames16
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION
Name (Last, First, Middle Initial) Home Phone Number

Street Address Cell Phone Number

City, State, Zip Code Email Address

Are you 18 years or older? Are there any accommodations that may be required
Yes so that you may perform all of the essential functions
No of the position for which you are applying?
Are you legally eligible to work in the United Yes
States? No
Yes
No

POSITION – Check all that apply

Full-time Specify hours that you are available to work:


Part-time
______________________________________________
Day Shift
Location:
Evening Shift Ahwatukee
Weekends Tempe
Weekdays Other __________________________________
Driving (must complete Driver Addendum)

When can you begin work?

EMPLOYMENT HISTORY- PLEASE PROVIDE INFORMATION REGARDING YOUR 2 MOST RECENT JOBS.
Employer: Start Date: End Date:

Address: Phone Number:

City, State, Zip Code: Supervisor Name:

Employer: Start Date: End Date:

Address: Phone Number:

City, State, Zip Code: Supervisor Name:


REFERENCES
May we contact your current employer?
Yes
No
List two individuals that may be contacted as an employment reference
Name: Phone Number:

Relationship: Years known:

Name: Phone Number:

Relationship: Years known:

ADDITIONAL INFORMATION

Include any additional information you think might be helpful to us in considering you for employment,
such as additional work experience, activities, and accomplishments.

_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
GENERAL NOTICE
__
I authorize Zzesty Zzeeks to investigate my background as well as all statements made in this application,
including but not limited to communication to my former employers and all persons named as a reference,
and I hereby release from liability all persons, companies or corporations supplying any information
concerning me including my employment history.

I certify the information contained in this application is true and complete. I understand that, if employed,
false statements reported on this application may be considered sufficient cause for termination.

_________________________________________________________ _____________________
Signature Date

I certify that the above information is true and accurate. I understand that, if employed, false statements
reported on this application may be considered sufficient cause for termination.

_____________________________________________________________ ____________________________
Signature Date

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