Application for Employment

Application For Employment

Application for Employment

Last Name

First Name

Middle Name

Address

City

State

ZIP Code

Phone Number

Date of Birth

Best Time to Contact?

Morning

Evening

Field label

1. General Information

Have you had the COVID-19 vaccine?

Yes

Do you have reliable transportation?

Yes

Are you able to perform the essential functions of the position for which you are applying with or without reasonable accommodation?

Yes

Please describe any accommodation needed:

Have you ever been convicted of any crimes other than minor traffic violations?

Yes

If yes, please explain:

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2. Education, Training, & Experience

Military Service:

Yes

Branch:

Status:

Active

Discharged

Please check the last grade completed:

Degree earned:

Yes

Type of Degree:

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| Name/Address of School or University |

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| Major or Focus of Study |

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| Graduate/ Degree Earned? |

School 1

Major 1

Degree Earned 1

Yes

School 2

Major 2

Degree Earned 2

Yes

School 3

Major 3

Degree Earned 3

Yes

Please list any other Technical/Vocational certificates or training:

Name of certifying entity:

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3. Skills

Position(s) applying for:

Salary Requirements:

Per:

Date Available to Start:

Are you willing to work:

Overtime

Evenings

Weekends

Are you willing to travel?

Yes

Please list any skills/ qualifications that are appropriate for the position you are applying for:

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4. Employment History

Starting with your PRESENT or MOST RECENT employer, please list your past 3 places of employment

1. Name of Company

Phone Number

Salary: Begin/End

From:

To:

Street Address:

City:

State:

ZIP Code:

Name/ Title of Supervisor

Position Held:

May we contact this employer?

Yes

Please give a brief description of duties performed while at this company

Reason for Leaving:

2. Name of Company

Phone Number

Salary: Begin/End

From:

To:

Street Address:

City:

State:

ZIP Code:

Name/ Title of Supervisor

Position Held:

May we contact this employer?

Yes

Please give a brief description of duties performed while at this company

Reason for Leaving:

3. Name of Company

Phone Number

Salary: Begin/End

From:

To:

Street Address:

City:

State:

ZIP Code:

Name/ Title of Supervisor

Position Held:

May we contact this employer?

Yes

Please give a brief description of duties performed while at this company

Reason for Leaving

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Please list up to 3 PERSONAL/PROFESSIONAL references, relationship to applicant, & contact information in the space provided:

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Name

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Relationship

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Phone Number

Reference 1

Relationship 1

Contact 1

Reference 2

Relationship 2

Contact 2

Reference 3

Relationship 3

Contact 3

Opt-In

READ CAREFULLY:

By checking I certify that I am legally eligible for employment in the U.S. and can provide the appropriate documents required for reporting to the Internal Revenue Service.

I further certify that the information provided in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in the denial of employment or discharge.

I authorize representatives of TOTAL HOME BY DJ to contact the references listed to provide information concerning my previous employment or other pertinent personal information and release all parties from all liability for any damages that may ensue from the furnished details.

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By clicking "Apply", you will be redirected to the Total Home by DJ Skills Evaluation Page. This page is required for consideration of any and all applicants.

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