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=         =             &nb= sp;            =          Kaskade Plumbing   &n= bsp;            = ;            &n= bsp;         

        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;               =   Employment Application

 

Applicant Information

Last Name

 

First

 

M.I.

Date

 

Street Address

 

Apartment/Unit #

 

City

 

State

 

ZIP

 

Phone

 

E-mail Address

 

Date Available

 

Social Security No.

 

Desired Salary

 

Position Applied for

 

Are you a citizen of the United States?

YES   <= /span>Education

High School

 

Address

 

From

 

To

 

Did you graduate?

YES  References<= o:p>

Please list three professional references.

Full Name

 

Relationship

 

Company

 

Phone

(       &nbs= p;   )

Address

 

Full Name

 

Relationship

 

Company

 

Phone

(       &nbs= p;   )

Address

 

Full Name

 

Relationship

 

Company

 

Phone

(       &nbs= p;   )

Address

 

 

Previous Employment

Company

 

Phone

(       &nbs= p;   )

Address

 

Supervisor

 

Job Title

 

Starting Salary

$

Ending Salary

$

Responsibilities

 

From

 

To

 

Reason for Leaving

 

May we contact your previous supervisor for a refere= nce?

YES  Disclaimer = and Signature

I certify that my answers are true and complete to = the best of my knowledge.

If this application leads to employment, I understa= nd that false or misleading information in my application or interview
may result in my release.

Signature

 

Date