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Education




Computer Literacy

List the specific applications for which you have experience, then score yourself based on what you feel is your relevant degree of familiarity.

Spreadsheets:

Word Processing:

Database:

Graphics Programs:

Desktop Publishing:

Other:

Professional References

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Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities or other protected status.




Professional/Trade/Business/Civic

List activities and offices held. You may exclude membership that would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.


Outside Interests

List of activities you enjoy outside of job-related work duties.


Additional Qualifications

Summarize special job-related skills and qualifications acquired from employment or other experience. Additionally, describe any specialized training, apprenticeship, skills and job-related training received in the United States Military.


Applicant’s Statement

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed (45) days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless an authorized executive of this organization specifically acknowledges such change in writing.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. In addition, I understand that should I accept an offer of employment, I may be required as a condition of employment to execute a confidentiality agreement, in which event, I agree to be bound by the terms of such agreement(s).

As a condition of employment, I also understand that I will be required to submit to a urine drug screen and a background/credit check.

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We will follow up with you shortly, if necessary. If you need immediate assistance, please call our office at 800-783-7156.
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