GENERAL
INFORMATION:
Subjects of special study or research work:
Special
Skills
Activities
( Civic , Athletic, Etc.- Exclude organizations which indicate
the race, creed, sex, age, marital status, color, or nation
or orign of its members)
U.S. Military or Naval Service? / Rank / Present
Membership in National Guard or Reserves?
FORMER EMPLOYERS:
From - To:
Name & Address of Employer
Phone
Salary / Position
Reason for Leaving
From - To:
Name & Address of Employer
Phone
Salary / Position
Reason for Leaving
From - To:
Name & Address of Employer
Phone
Salary / Position
Reason for Leaving
Which of these did you enjoy best? Please answer either
1, 2, or 3
What did you enjoy the most about this job?
References :
Name,
Address
Phone
Business
Years Acquainted
Name,
Address,
Phone
Business
Years Acquainted:
Name,
Address,
Phone
Business
Years Acquainted:
Electronic
Signature:
Date:
Your electronic signature to this application certifies
the following: I certify that all the information submitted
by me on this application is true and complete and I understand
that if any false information, omissions, or misrepresentations
are discovered, my appliocation may be rejected and if I
am employed my employment may be terminated at anytime.
I do note that Illinois is a State of "AT WILL EMPLOYMENT".
In consideration of my employment I agree to conform to
the company's rules and regulations, and I agree that my
employment and compensation can be terminated with or without
cause and with or without notice, at either my or the company'
option. I also understand that the terms and conditions
of my employment should I be hired may be changed with or
without cause and with or without notice at any time by
the company. I understant that no company representative
other than it's PRESIDENT, and then only when in writing
and signed by the President has any authority to enter into
any agreement for employment for any specific period of
time, ot to make any agreement contrary tothe foregoing.
With my electronic signature I hereby accept, and understand,
the terms of application as listed above.
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