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FIRST NAME

LAST NAME

EMAIL
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LOCATION:

POSITION
PERSONAL INFORMATION

FIRST NAME

LAST NAME

ADDRESS

CITY

STATE

ZIP

PHONE

CELL

EMAIL
Are you over 18 years of age? Yes
Are you over 21 years of age? Yes
AVAILABILITY
Are you legally able to be employed in this country? Yes
What type of position are you seeking?
What hours do you prefer to work?
Hours Available to Work
 
MON
TUE
WED
THURS
FRI
SAT
SUN
FROM
TO
INTERESTS/PASSIONS

SPECIAL SKILLS

INTERESTS

GOALS/ASPIRATIONS

Desired Wage

Desired Weekly/Monthly Take Home
EMPLOYMENT EXPERIENCE (starting with most recent)

COMPANY

DATES

ADDRESS

CITY

POSITION

SUPERVISOR

WAGE

REASON FOR LEAVING

COMPANY

DATES

ADDRESS

CITY

POSITION

SUPERVISOR

WAGE

REASON FOR LEAVING

COMPANY

DATES

ADDRESS

CITY

POSITION

SUPERVISOR

WAGE

REASON FOR LEAVING
WORK RELATED REFERENCES

NAME

COMPANY & TITLE

PHONE NUMBER

YEARS KNOWN

NAME

COMPANY & TITLE

PHONE NUMBER

YEARS KNOWN

NAME

COMPANY & TITLE

PHONE NUMBER

YEARS KNOWN
AUTHORIZATION
I have read and understand the following:

"I certify that the facts contained in this application are true and complete to the best of my knowledge and I undertand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employees listed above to give you any and all information concerning my pervious employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilzation of such information.

I also understand and agree that no representive of the company has any authority to enter into any agreement for employment for any specificed period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the American with Disability Act (ADA) and other relevant federal and state laws."

DISCLAIMER
The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job.

EQUAL EMPLOYMENT OPPORTUNITY
Slurping Turtle strongly supports equal employment opportunity for all applicants regardless of race, color, sex, religion, marital status, national orgin, citizenship status, age, sexual orientation or preference, medical condition (including pregnancy) or protected disability where it is unrelated to the ability to perform a job, or status as a Vietnam-era or special disabled veteran, or any other category prohibited by federal, state, or applicable local law, regulation or ordinance.


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FIRST NAME

LAST NAME

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I have read and agree to the upload disclaimer.

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