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APPLICATION FOR EMPLOYMENT
APPLICATION FOR EMPLOYMENT
**MUST HAVE A VALID PHONE # WHERE YOU CAN BE REACHED**
NOTE: APPLICANT MUST COMPLETE ALL SECTIONS OF THIS APPLICATION
Web Site
PERSONAL DATA
Full Name:
*
SS#:
*
Present Address
Number & Street
*
City
*
State
*
Zip
*
Phone #
*
Former Address
Number & Street
*
City
*
State
*
Zip
*
Phone #
*
Type of work desired (Describe)
*
Part Time
*
Full Time
*
Are you 18 years of age or older?
*
Yes
No
(If under 18, please state your age)
Are you on lay-off subject to recall elsewhere?
*
Yes
No
(If yes, please explain)
Date you are available to work?
*
(Minimum Salary Requirement)
*
Have you made previous application to this organization?
*
Yes
No
(If yes, which Branch Location?)
Have you been employed with NCS previously?
*
Yes
No
(If yes, which Branch Location?)
Have you been convicted of any crime, other than minor traffic violations but including DUI, in the past 5 years?
*
Yes
No
If yes, please explain:
Conviction for an offense will not necessarily disqualify you from consideration
Number of days absent last year?
*
If more than three days, please explain:
Do you have transportation to work?
*
Yes
No
If not, will that prevent you from reporting to work on time?
EDUCATION
High School
NAME & LOCATION OF SCHOOL
*
COMPLETED YEAR
*
MAJOR
*
DEGREE
*
University/College
NAME & LOCATION OF INSITUTE
*
COMPLETED YEAR
*
MAJOR
*
DEGREE
*
Military Trade/Other
NAME & LOCATION OF INSITUTE
*
COMPLETED YEAR
*
MAJOR
*
DEGREE
*
REFERENCES
Give name, address and telephone# of three references who are not related to you and are not previous employers.
*
EMPLOYMENT HISTORY
Your present or most recent employer
Name
*
Address
*
City
*
State
*
Zip
*
Phone
*
Fax
*
Supervisor
*
Title
*
Title of position held and brief description of duties performed:
*
Starting Salary
*
Ending Salary
*
What were your reasons for leaving?
*
Previous employer
Name
*
Address
*
City
*
State
*
Zip
*
Phone
*
Fax
*
Supervisor
*
Title
*
Title of position held and brief description of duties performed:
*
Starting Salary
*
Ending Salary
*
What were your reasons for leaving?
*
List any other jobs not covered above
NAME OF COMPANY
POSITION
EMPLOYMENT DATES
ENDING SALARY
REASON FOR LEAVING
NAME OF COMPANY
POSITION
EMPLOYMENT DATES
ENDING SALARY
REASON FOR LEAVING
NAME OF COMPANY
*
POSITION
EMPLOYMENT DATES
ENDING SALARY
REASON FOR LEAVING
NAME OF COMPANY
POSITION
EMPLOYMENT DATES
ENDING SALARY
REASON FOR LEAVING
Summarize special job-related skills and qualifications acquired from employment or other experience
List below any other information or remarks that you wish to have considered as part of your application for employment.
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