Job Openings at Prizer Point

Your Name

Date

Address

Your Email

Your Phone Number

Date Available

Desired Salary

Position Applied For

Are you a citizen of the United States?
yesno

If no, are you authorized to work in the U.S.?
yesno

Have you ever worked for this company?
yesno

Have you ever been convicted of a felony?
yesno

If yes, explain

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High School & High School Address

What years did you attend High School?

Did you graduate High School?
yesno
-
College & College Address

What years did you attend College?

Did you graduate College?
yesno

Degree

-
Other Education & Address

What years did you attend "other"?

Did you graduate?
yesno

Degree/Certification/Other

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Please list three professional references (Name / Relationship / Company / Phone / Address)

Previous Work History #1 (Company / Phone / Address / Supervisor / Job Title / Starting Salary / Ending Salary / Responsibilities / Start & End Years / Reason for leaving)

May we contact your previous supervisor for a reference?
yesno
-
Previous Work History #2 (Company / Phone / Address / Supervisor / Job Title / Starting Salary / Ending Salary / Responsibilities / Start & End Years / Reason for leaving)

May we contact your previous supervisor for a reference?
yesno
-
Previous Work History #3 (Company / Phone / Address / Supervisor / Job Title / Starting Salary / Ending Salary / Responsibilities / Start & End Years / Reason for leaving)

May we contact your previous supervisor for a reference?
yesno
-
Military History (Branch / Start & End Years / Rank at Discharge / Type of Discharge / If unhonorable discharge explain)

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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.
I Agree

Online Signature

Date

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