| Name |
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| Title |
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| Organization |
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| Street address |
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| Address (cont.) |
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| City |
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| State/Province |
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| Zip/Postal code |
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| Country |
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| Work Phone |
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| Home Phone |
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| FAX |
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| E-mail |
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| High School Name |
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| Location (City/State) |
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| Last Year Completed: |
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| Did You Graduate? |
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| Major or Specialty |
|
List
Abilities, Activities,
Honors, Hobbies
|
|
|
|
| College Name |
|
| Location (City/State) |
|
| Last Year Completed |
|
| Did You Graduate? |
|
| Major or Specialty |
|
List
Abilities, Activities,
Honors, Hobbies
|
|
|
|
| Trade School Name |
|
| Location (City/State) |
|
| Last Year Completed |
|
| Did You Graduate? |
|
| Major or Specialty |
|
List
Abilities, Activities,
Honors, Hobbies
|
|
|
|
Do you have
any special activities which start late in the summer, such as football or soccer
practice, college orientation, etc.?
If so, list and give approximate starting dates
|
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|
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|
A cash register? |
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|
An adding machine? |
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PAST
EMPLOYMENT REFERENCES
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| To |
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| Name |
|
| Address |
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|
|
| Job Title |
|
| Supervisor |
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| Pay Rate |
|
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|
|
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| To |
|
| Name |
|
| Address |
|
|
|
|
| Job Title |
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| Supervisor |
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| Pay Rate |
|
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| To |
|
| Name |
|
| Address |
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|
| Job Title |
|
| Supervisor |
|
| Pay Rate |
|
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| To |
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| Name |
|
| Address |
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| Job Title |
|
| Supervisor |
|
| Pay Rate |
|
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| To |
|
| Name |
|
| Address |
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| Job Title |
|
| Supervisor |
|
| Pay Rate |
|
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| To |
|
| Name |
|
| Address |
|
|
|
|
| Job Title |
|
| Supervisor |
|
| Pay Rate |
|
|
|
|
|
|
| I can begin working full-time on |
|
| I can work full-time until |
|
| I am available weekends
beginning: |
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| I am unavailable weekends after: |
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| I will attend school in the fall |
|
| If yes, where? |
|
|
|
|
| Saturday |
|
| Sunday |
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| Part-time |
|
*NOTE: Your availability dates are very important. Please give serious
considerations to the dates you choose because they will have a strong bearing on you
application. Failure to comply with the dates you choose may affect future employment
status.
|
|
|
A LITTLE
ABOUT YOURSELF...
|
| Are you employed elsewhere? |
| If so, where? |
|
Do you
have any special abilities, awards, hobbies?
|
|
| Do you have a valid driver's
license? |
|
Are you
fluent in a language other than English?
|
| If so, which? |
|
In case of
an emergency, who should we notify?
|
| Name |
|
| Phone |
|
| Relationship |
|
| Address: |
|
|
|
| JOB PREFERENCES (Indicate up to 5
Choices in Order of Preference) |
|
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|
Concierge |
|
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Parking Lot Attendant |
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Linen Person |
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Maintenance/Construction |
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Cook |
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Food Preparation Person |
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Dishwasher |
|
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|
Security Guard |
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|
Food Service Counter/Cashier
|
|
Retail Counter Person/Cashier |
|
|
Other |
Please note
certain positions may have uniform requirements
|
|
| Have you worked for us before? |
|
| If yes, when and who was your
supervisor? |
|
|
| Reason for leaving |
|
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I CERTIFY,
by hitting 'Submit Form,' that this information is accurate and complete. Giving
incomplete or false information for employment is a serious matter and is grounds for
dismissal and forfeiture of related benefits.
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