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Employment Application

Applicant Information

Full Legal Name*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Phone*

Email*

Possible Start Date*

Desired Start Pay (Salary or Per Hour)*

Position Applying For*

Are you a citizen of the United States?*

No

Yes

If No, are you authorized to work in the United States?

N/A

No

Yes

Have you worked for API in the past?*

No

Yes

If yes, when and why did you leave?

Have you ever been convicted of a felony?*

No

Yes

If yes, explain

Education

Highest level of education*

Name of school*

Did you graduate?*

No

Yes

If yes, what year did you graduate?

References

Reference 1

Name*

Relationship*

Company*

Reference 2

Name

Relationship

Company

Reference 3

Name

Relationship

Company

Previous Employment

Company 1*

Phone Number*

Supervisor Name*

Job Title*

Starting Salary (Salary or Per Hour)*

Ending Salary (Salary or Per Hour)*

Responsibilities or Job Description*

Start Date*

End Date*

Reason for Leaving*

May we contact your previous supervisor for a reference?*

Yes

No

Company 2

Phone Number

Supervisor Name

Job Title

Starting Salary (Salary or Per Hour)

Ending Salary (Salary or Per Hour)

Responsibilities or Job Description

Start Date

End Date

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

Company 3

Phone Number

Supervisor Name

Job Title

Starting Salary (Salary or Per Hour)

Ending Salary (Salary or Per Hour)

Responsibilities or Job Description

Start Date

End Date

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

Military Service

Branch

Start of Service

Date of Discharge

Rank at Discharge

Type of Discharge

Honorable

Dishonorable

Other

If other than honorable, explain

Disclaimer and Digital Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release

Signature*

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Signature Date*

Document Upload

If you have a resume or any document that may be useful, you can upload it here.

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CONTACT

2737 W Mountain St

Kernersville, NC 27284

336-723-1018
aposter@associatedposters.com

SOCIALS

Employment Application

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