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    Application For Employment: Personal Information

    Uploaded by

    Dave Cotton
    This document is an application for employment as a personal assistant. It requests personal information such as name, address, phone number, email, eligibility to work in the US, age, criminal history, current employment status, availability, prior work experience, military service, and contact in case of emergency. By signing, the applicant certifies the information is correct and consents to contact former employers to verify work records. The employer information section is left blank.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Application For Employment: Personal Information

    Uploaded by

    Dave Cotton
    25 views2 pages
    This document is an application for employment as a personal assistant. It requests personal information such as name, address, phone number, email, eligibility to work in the US, age, criminal history, current employment status, availability, prior work experience, military service, and contact in case of emergency. By signing, the applicant certifies the information is correct and consents to contact former employers to verify work records. The employer information section is left blank.

    Original Description:

    Application

    Original Title

    Application for Employment

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    This document is an application for employment as a personal assistant. It requests personal information such as name, address, phone number, email, eligibility to work in the US, age, criminal history, current employment status, availability, prior work experience, military service, and contact in case of emergency. By signing, the applicant certifies the information is correct and consents to contact former employers to verify work records. The employer information section is left blank.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    25 views2 pages

    Application For Employment: Personal Information

    Uploaded by

    Dave Cotton
    This document is an application for employment as a personal assistant. It requests personal information such as name, address, phone number, email, eligibility to work in the US, age, criminal history, current employment status, availability, prior work experience, military service, and contact in case of emergency. By signing, the applicant certifies the information is correct and consents to contact former employers to verify work records. The employer information section is left blank.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    APPLICATION FOR EMPLOYMENT

    PERSONAL INFORMATION

    Last Name: First: Middle:

    Street Address: City: State: Zip:

    Home Phone: Mobile Phone: Email:

    Are you entitled to work in the United States? Yes/No

    Are you 18 Years or Older? Yes/No If Yes, Date of Birth:

    Have you been Convicted of Felony, or been Incarcerated of Felony


    in the past Seven Years? Yes/No

    Are You Currently Employed? Yes/No Position Sought: PERSONAL ASSISTANT POSITION

    Expected Hourly rate: Expected Weekly Earnings: Date Available:

    PRIOR WORK EXPERIENCE

    Employer: Address:

    Telephone: Position:

    Pay: Reasons for Leaving: May we Contact Yes/No

    CONTACT

    In case of accident or illness, please Contact: Name: Phone number

    Relationship:

    MILITARY
    Are You a Veteran? Yes/No

    INFORMATION TO THE APPLICANT

    Disclaimer - By signing, I hereby certify that the above information, to the best of my knowledge, is correct. I understand that falsification of this
    information may prevent me from being hired or lead to my dismissal if hired. I also provide consent for former employers to be contacted regarding
    work records.

    Name: Date

    Equal Employment Opportunity: While many employers are required by Federal law to have an Affirmative Action Program, all employers are required
    to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only.

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