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Employment Application Form
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APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS
PLEASE PRINT OR TYPE ALL INFORMATION REQUESTED. |
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PLEASE ANSWER ALL QUESTIONS:
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DATE ________________________________ |
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Name __________________________________________________________________________________________ |
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First Middle Last
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Present address __________________________________________________________________________________ |
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Number Street City State Zip
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How long at this address? ___________________ |
Social Security No: (For privacy reasons and because email is not secure, do NOT provide us with your social security number at this time. You can provide it at your interview).
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Best phone numbers to reach you at: ___________________________________________ |
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EMAIL ADDRESS_______________________________________________________________
Position applied for:__________________________________________________________________
Salary desired (be specific and indicate "per hour" or "per month"):_________________________________
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If under 18, please list age:______________________
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Days/hours available to work
No Pref _______ Thur _________
Mon __________ Fri __________
Tue __________ Sat _________
Wed _________ Sun _________ |
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How many hours can you work weekly? _________________ Can you work nights? _______________________ |
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Employment desired ___FULL-TIME ONLY ___PART-TIME ONLY ___FULL- OR PART-TIME |
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When available for work?____________________________________________________________________________ |
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How much notice do you need to give your current employer? _____________________________________________ |
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TYPE OF SCHOOL |
NAME OF SCHOOL |
LOCATION (Complete mailing address) |
NUMBER OF YEARS COMPLETED |
MAJOR & DEGREE |
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High School |
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College |
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Bus. or Trade School |
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Professional School |
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HAVE YOU EVER BEEN CONVICTED OF A CRIME? ___ No ___Yes |
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If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. ________________________________________________________________________________________________ |
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________________________________________________________________________________________________ |
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DO YOU HAVE A DRIVERS LICENSE? ___Yes ___No
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What is your means of transportation to work?___________________________________________________________ |
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Drivers license number ___________________________ State of issue _______ ___Operator ___Commercial (CDL) |
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Expiration date ______________________ Do you have automobile insurance? ___Yes ___No
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How many accidents have you had during the past three years?______________ |
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How many moving violations have you had during the past three years? ________ |
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OFFICE SKILLS |
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How many words per minute do you type? ____
Do you use a PC? ___Yes ___No
Do you use a Mac? ___Yes ___No Do you know shorthand? ___Yes ___No
Do you use a 10-key by touch? ___Yes ___No
What computer programs do you use, and how proficient are you with them?________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
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Other office skills_________________________________
_______________________________________________ |
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Please list two references other than relatives or previous employers. |
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Name ______________________________________ |
Name _________________________________________ |
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Position _____________________________________ |
Position _______________________________________ |
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Company ___________________________________ |
Company ______________________________________ |
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Address ____________________________________ |
Address _______________________________________ |
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_____________________________________ |
_______________________________________ |
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Telephone ( ) |
Telephone ( ) |
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Please answer the following questions. Feel free to attach a separate page with the answers:
Apart from work, what do you like to do?
What inspires or motivates you?
What has been your favorite job?
What are your life goals & dreams for the next 5 years? 10 years?
What six words would your previous employers use to describe you?
Why are you looking for a new job?
Why did you leave your last job (the one before you current one)?
How would you describe your computer skills?
Describe your ideal job.
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An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below (or attach a separate page) to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying. |
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Sign your application. Then, submit your completed application (and your resume and references if available) by email to apply@ocre.biz. |
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MILITARY |
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HAVE YOU EVER BEEN IN THE ARMED FORCES? Yes No |
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ARE YOU NOW A MEMBER OF THE NATIONAL GUARD? Yes No |
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Specialty ____________________________ Date Entered ________________ Discharge Date ______________ |
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Work Experience |
Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. |
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Name of employer Address |
Name of last supervisor |
Employment dates |
Pay or salary |
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City, State, Zip Code Phone number |
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From
To |
Start
Final |
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Your last job title |
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Reason for leaving (be specific) |
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List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. |
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Name of employer Address |
Name of last supervisor |
Employment dates |
Pay or salary |
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City, State, Zip Code Phone number |
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From
To |
Start
Final |
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Your Last Job Title |
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Reason for leaving (be specific) |
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List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. |
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Work experience |
Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. |
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Name of employer Address |
Name of last supervisor |
Employment dates |
Pay or salary |
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City, State, Zip Code Phone number |
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From
To |
Start
Final |
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Your last job title |
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Reason for leaving (be specific) |
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List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. |
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Name of employer Address |
Name of last supervisor |
Employment dates |
Pay or salary |
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City, State, Zip Code Phone number |
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From
To |
Start
Final |
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Your last job title |
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Reason for leaving (be specific) |
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List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company. |
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May we contact your present employer? ___Yes ___No |
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Did you complete this application yourself ___Yes ___No |
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If not, who did? ___________________________________________________________________________________ |
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PLEASE READ CAREFULLY- |
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APPLICATION FORM WAIVER
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In exchange for the consideration of my job application submitted to OCRE.biz (hereinafter called "the Company"), I agree that:
Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of the Company., or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company. Both the undersigned and the Company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits. |
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I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. |
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I also understand that (1) the Company has a drug and alcohol policy that may provide for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy may be a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. |
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I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, criminal record, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. |
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I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party. |
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Signature of applicant__________________________________________
Date: ___________________ |
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To submit this by email, type your name on the signature line above. By typing your name, you certify that you are over 18 years of age, that you are the person whose information is on this application, and that all of the information in your application is true and correct.
This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.
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Thank you for completing this application form and for your interest in our business.
Please submit your completed application and/or your resume by email to apply@ocre.biz.
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