| Personal Information |
Last Name, First, Middle
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Date of Application
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Street Address
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Position desired
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Contact Email
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City, State & Zip Code
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Home Number
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Work Number
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| Please read and complete form. Provide all information requested. Your application
will be maintained in our active files for one (1) year from the date of submission. You may
submit a new application at any time. |
| Educational History |
| School Name |
Location (City & State) |
Major course or Subject |
Dates Attended (mm/yy-mm/yy) |
Degree |
| High School |
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| Technical/Trade |
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| College |
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| Other Education/Training |
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| Special Skills |
| List any special skills including computer, drafting, programming, etc.
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| Employment Record |
| Starting with present or most recent, list last two employers. Include self-employment, summer and part-time jobs. |
Last or present Company
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Title or Job Classifcation
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Street Address
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Phone Number
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Job Duties
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City, State & Zip Code
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Supervisor's Name
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Dates of Employment
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Previous Company
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Title or Job Classifcation
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Street Address
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Phone Number
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Job Duties
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City, State & Zip Code
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Supervisor's Name
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Dates of Employment
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| Miscellaneous |
| Were you previously employeed by SMARTSolution Technologies? |
Yes
No |
| Do you have any relative(s) currently employeed by SMARTSolution Technologies? |
Yes
No |
| Have you ever been convicted of any any crimes other than minor traffic violations during the
past seven years? (A conviction will not necessarily bar you from employment) |
Yes
No |
| Will visa or immigration status prevent lawful employment? |
Yes
No |
| Why do you want to work for SMARTSolution Technologies? |
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