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EMPLOYMENT APPLICATION

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Street, City, State and Zip Code

Position Desired
Can you perform the essential functions of the position for which you are applying?
When are you available to begin work?
Month
Day
Year
Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment)
Yes
No
Are you over 18 years of age? (If no, you may be required to provide authorization to work.)
Yes
No
Have you ever worked for this company before?
Yes
No
Do you have friends/family that work for the company?
Yes
No
Are you presently employed?
Yes
No
If yes, may we contact your employer?
Yes
No

Please state Name and Location, Year or Completion and Diploma/Degree or Licensed received for the following: High School, College, Cosmetology School and/or Trade School you attended.

(Ex. Meade High School, Ft. Meade, MD, 4 years, High School Diploma) 

Did you complete State Board?
Yes
No

Date

Did you apprentice?
Yes
No
Have you completed any special courses, seminars and/or training related to the position for which you are applying?
Yes
No

Please list your 3 most recent places of employment: Name of employer, phone number, full address, supervisor name & title, dates employed: start & end date and describe the work performed (Ex. Taco Bell, 410-555-5555, 1234 West Street, Hanover, MD 21076, John Doe Manager, Jan 1, 2022-March 1, 2022, cashiers and assisted customers)

Give three professional references (No relatives)

IMPORTANT, PLEASE READ AND SIGN
Yes
No

I understand that failure to reveal and prior employer or giving false or misleading information by me on any part of this Application for Employment can result in disqualification of employment consideration or if hired, may be grounds for termination from the company or its subsidiaries. I understand that if I am hired my employment is for no definite time and may be terminated at any time without prior notice. By selecting YES you indicate that you agree with the above terms.

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