Employment

TO BE CONSIDERED FOR EMPLOYMENT AT CRYSTAL FALLS, PLEASE COMPLETELY FILL OUT THE FORM BELOW. IF A SECTION DOES NOT APPLY TO YOU, PLEASE TYPE N/A IN THE FIELD(S).

Name

First Name

Last Name

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Are You Under 18?

Yes

If Under 18, Date of Birth

YYYY

Position Sought

Available Start Date

YYYY

Desired Pay

Expected Weekly Earnings

Are You Currently Employed?

Yes

EDUCATION

High School Name & Location

Graduation Date (High School)

If you have not graduated, please enter the anticipated graduation date.

YYYY

College or University Name & Location (If Applicable)

Graduation Date (College/University)

If you have not graduated, please put anticipated graduation date.

YYYY

Specialized Training, Trade School, Etc. Name & Location (If Applicable)

Date of Graduation/Certification

If you have not graduated, please enter the anticipated graduation date.

YYYY

WORK EXPERIENCE

Employer 1

Employer 1 Name

Employer 1 Location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Start Date at Employer 1

YYYY

End Date at Employer 1

YYYY

Role/Title at Employer 1

Reason For Leaving, Job Notes, Tasks Performed at Employer 1

Employer 2

Employer 2 Name

Employer 2 Location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Start Date at Employer 2

YYYY

End Date at Employer 2

YYYY

Role/Title at Employer 2

Reason For Leaving, Job Notes, Tasks Performed at Employer 2

YOUR AVAILABILITY FOR WORK

Mondays - Start Time:

Hour

Minute

Second

Mondays - End Time:

Hour

Minute

Second

Tuesdays - Start Time:

Hour

Minute

Second

Tuesdays - End Time:

Hour

Minute

Second

Wednesdays - Start Time:

Hour

Minute

Second

Wednesdays - End Time:

Hour

Minute

Second

Thursdays - Start Time:

Hour

Minute

Second

Thursdays - End Time:

Hour

Minute

Second

Fridays - Start Time:

Hour

Minute

Second

Fridays - End Time

Hour

Minute

Second

Saturdays - Start Time:

Hour

Minute

Second

Saturdays - End Time:

Hour

Minute

Second

Sundays - Start Time:

Hour

Minute

Second

Sundays - End Time:

Hour

Minute

Second

CAREFULLY READ EACH STATEMENT BELOW BEFORE SUBMITTING

I CERTIFY THAT ALL OF THE INFORMATION PROVIDED IN THIS EMPLOYMENT APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE, AND I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION,. I UNDERSTAND THAT ANY FALSE OR INCOMPLETE INFORMATION MAY DISQUALIFY ME FROM FURTHER CONSIDERATION FOR EMPLOYMENT AND MAY RESULT IN MY IMMEDIATE DISCHARGE IF DISCOVERED AT A LATER DATE.

BY CLICKING THE SUBMIT BUTTON I CERTIFY THAT I HAVE READ, UNDERSTAND, AND AGREE TO THE ABOVE STATEMENTS

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