Employment Application |
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First Name |
Middle Initial |
Last Name |
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Address |
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Home Phone |
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City |
State |
Zip |
Message Phone |
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Date Available |
Hours Available |
Type of Employment |
Salary Desired |
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Position Applied For |
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E-Mail Address |
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Are you able to peform the essential job functions of the position you are applying with or without reasonable accommodations?
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If hired, will you be able to work overtime?
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Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by court? A yes response does not automatically disqualify your application.
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If Yes, please explain.
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Are you at least 18 years of age?
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Education Information |
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School |
Name / Address |
Major Studies |
Degree, Diploma, License or Certificate (list type and date) |
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High School |
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Vocation/Business/Other |
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College/University |
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College/University |
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Graduate |
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Other special knowledge, skills, or qualifications (list any computer skills, office skills, technical equipment skills or training): |
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Military Service (list dates, ranks, and training): |
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Do you type?
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How many words per minute? |
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Employment History |
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List all employers, starting with the most recent position. All information must be completed. You may attach a resume, but not in place of completing the required information. |
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If you desire, please email your resume to career@texasloanstore.com |
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Most Recent Employer |
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Is this your current employer?
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May we contact this employer for references?
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Employed From:
Employed To:
Starting Salary: $
Ending Salary: $
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Employer Name:
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Employer Address: |
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Job Title:
Supervisor's Name:
Supervisor's Phone:
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Job Duties and Responsibilities:
Reason for Leaving:
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Next Most Recent Employer |
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May we contact this employer for references?
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Employed From:
Employed To:
Starting Salary: $
Ending Salary: $
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Employer Name:
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Employer Address:
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Job Title:
Supervisor's Name:
Supervisor's Phone:
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Job Duties and Responsibilities:
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Reason for Leaving:
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Other Information |
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Volunteer Activities (list organization, type of service, dates):
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Hobbies, Interests:
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Certification and Authorization |
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The above information is true and correct. I authorize the Company to inquire into my education, past employment history, and references as needed to research my qualifications for this position. I understand that a pre-employment drug test may be required to obtain employment. If employed, I will be required to provide original documents which verify my identity and right to work in the Untied States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for the completion of form I-9. |
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I hereby acknowledge that I have read and agree to the above statements.
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