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PERSONAL INFORMATION
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When are you available to start work?
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MM slash DD slash YYYY
Are you eligible to work in the U.S?
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Yes
No
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?
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Yes
No
Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)
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Yes
No
Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for? If yes, explain.
What days are you available to work?
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Tuesday
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EDUCATION
Please list your latest education
Name and Location of School
# of Years Attended
Degree Received
EMPLOYMENT HISTORY
Please list your latest employment
Employer Name
From - To
Job Title
Reason for Leaving
Consent
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Please read carefully before signing
Inpower Marketing is an equal opportunity employer. Inpower Marketing does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Inpower Marketing to hire me. If I am hired, I understand that either [Company Name] or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Inpower Marketing has the authority to make any assurance to the contrary.
I attest with my signature below that I have given to Inpower Marketing true and complete information on this application. No requested information has been concealed. I authorize Inpower Marketing to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
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