statonco

Employment Application - Education

High School
Name and Address of School
Diploma Degree
Undergraduate College
Name and Address of School
Course of Study
Years Completed
Diploma Degree
Graduate Professional
Name and Address of School
Course of Study
Years Completed
Diploma Degree
Other (Specify)
Name and Address of School
Course of Study
Years Completed
Diploma Degree
Describe any specialized training
Describe any job-related training received in the United States military


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Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer actuvutues. You may exclude organizations which indicate race, color, religion, gender,national origin, disabilities or other protected status.
Employer
Address
Telephone Number(s)
Job Title
Supervisor
Reason for Leaving
Dates Employed
From Date
To Date
Work Performed
Employer
Address
Telephone Number(s)
Job Title
Supervisor
Reason for Leaving
Dates Employed
From Date
To Date
Worked Performed
Employer
Address
Telephone Number(s)
Job Title
Supervisor
Reason for Leaving
Dates Employed
From Date
To Date
Worked Performed
Employer
Address
Telephone Number(s)
Job Title
Supervisor
Reason for Leaving
Dates Employed
From Date
To Date
Worked Performed
List professional, trade, business or civic activities and offices held.


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Additional Information

Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.
Specials Skills (Check Skills)	Terminal PC/MAC Typewriter - WPM Spreadsheet Word Processing Shorthand - WPM
Special Skills (Equipment Operated) - Production / Mobile Machinery (list)
Special Skills (Equipment Operated) - Other (list)
DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given.	Yes No
References
1st - Name
Phone #
Address
2nd Name
Phone #
Address
3rd Name
Phone #
Address
Reload image	Enter the code you see on the image:

Printable PDT of Certification Statement
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I accept


Application for Employment
We consider applications for all positions without regard to race, color, religion, creed, sex, national origin, disability, marital status, sexual orientation and citizenship status.
Position(s) Applied For
Date of Application
How did you learn about us	Advertisement Relative Inquiry Employment Agency Friend Other
If Other, Please Identify
Last Name
First Name
Middle Name
Address
City
State
Zip
Telephone Number(s)
Best Time to Contact You at Home
Have You Ever Filed an Application with Statonco?	Yes No
If Yes, give date.
Have you ever been employed with Statonco?	Yes No
If Yes, give date.
Do you have any friends or relatives at Statonco?	Yes No
Are you currently employed?	Yes No
May we contact your present employer?	Yes No
Are you prevented from lawfully becoming employed in this country because of:
Visa or Immigration status	Yes No
Proof of citizenship or immigration status will be required upon employment.
Date available for work
What is your desired pay?
Are you available to work?	Full Time Available for Shift 1 Available for Shift 2 Available for Shift 3 Part Time Available for Mornings Available for Afternoon Available for Evenings Temporary
If temporary, please indicate dates available
Are you currently on lay-off status and subject to recall	Yes No
Can you travel if a job requires it?	Yes No
Have you been convicted of a felony within the last five years?	Yes No
A criminal record does not constitute an automatic bar to employment and will be considered only as it relates to the job in question.


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WE ARE AN EQUAL OPPORTUNITY EMPLOYER