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Position(s) applied for:
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Referral source:
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Application Date:
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*Full Name:
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*Address1:
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Address2:
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*City:
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*State:
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*Zip:
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*Telephone#:
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Cell/Beeper/Other#:
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*Email:
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If necessary, best time to call you at home is:
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*May we contact you at work?
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If yes, work number and best time to call:
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*Have you submitted an application here before?
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If yes, give position(s) and date(s):
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*Have you every been employed here before?
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If yes, give dates (From and To):
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*Are you legally eligible for employment in this country?
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*Date available for work:
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What is your desired salary range?
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*Type of employment desired:
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*Have you ever pled "guilty" or "no contest" to, or been convicted of, a crime?
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If yes, please provide date(s) and details:
ANSWERING “YES” TO THIS QUESTION DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT.
FACTORS SUCH AS DATE OF THE OFFENCE, SERIOUSNESS AND NATURE OF THE VIOLATION, REHABILITATION,
AND POSITION APPLIED FOR WILL BE TAKEN INTO ACCOUNT.
Employment History
Provide the following information of your current and past employers, assignments,
or volunteer activities, starting with the most recent. Use additional sheets if
necessary. Explain any gaps in employment in Comments section below.
Skills and Qualifications
Summarize any special training, skills, licenses, and/or certificates that may qualify
you as being able to perform job-related functions in the position for which you
are applying.
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Educational Background
A. List last three schools attended, beginning with most recent. B.
List number of years completed. C. Indicate degree or diploma earned, if
any. D. Grade point average or class rank. E. Major field of study.
F. Minor field of study (if applicable).
References
List name and telephone number of three business/work references who are not related
to you and are not previous supervisors. If not applicable, list three schools or
personal references who are not related to you
Additional Information
List any additional information you would like us to consider. This may include
information such as professional/business/civic associations, special accomplishments,
publications, awards, commendations, etc.
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Application Statement
I certify that all information I have provided in order to apply for and secure
work with COMSO, Inc. (COMSO) is true, complete, and correct.
I understand that any information I provide that is found to be false, incomplete,
or misrepresented in any respect will be sufficient cause to (i) cancel further
consideration of this application, or (ii) immediately discharge me from COMSO’s
service, whenever it is discovered.
I expressly authorize, without reservation, COMSO, its representatives, employees,
or agents to contact and obtain information from all references (personal and professional),
employers, public agencies, licensing authorities, and educational institutions
and to otherwise verify the accuracy of all information provided by me in this application,
resume, or job interview. I hereby waive any and all rights and claims I may have
regarding COMSO, its agents, employees, or representatives, for seeking, gathering,
and using such information in the employment process and all other persons, corporations,
or organizations for furnishing such information about me.
I understand that COMSO does not unlawfully discriminate in employment and no question
on this application is used for the purpose of limiting or excusing any applicant
from consideration for employment on a basis prohibited by applicable local, state,
or federal law.
I understand that this application remains current for only 30 days. At the conclusion
of that time, if I have not heard from COMSO and still wish to be considered for
employment, it will be necessary for me to reapply and fill out a new application.
If I am hired, I understand that I am free to resign at any time, with or without
cause and without prior notice; and COMSO reserves the same right to terminate my
employment at any time, with or without cause and without prior notice, except as
may be required by law. This application does not constitute an agreement or contract
for employment for any specified period or definite duration. I understand that
no supervisor or representative of COMSO is authorized to make any assurances to
the contrary and that no implied oral or written agreements contrary to the foregoing
express language are valid unless they are in writing and signed by COMSO’s president.
I also understand that if I am hired, I will be required to provide proof of identity
and legal authority to work in the United States and that federal immigration laws
require me to complete an I-9 form in this regard.
Affirmative Action Voluntary Information
Would you like to complete the Affirmative Action Voluntary Information form?
Signature of Applicant: