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Employment Application

Complete the form below. We can not process incomplete job applications.

About You and Your Education History

Full Name:

Telephone No.:

Address:

Email:

City, State, Zip:

 

 


High School:

College:

City, State:

City, State:

Last Grade Completed:

Last Grade Completed:


US Citizen?

Yes No

Alien
Registration #:

If No, Type of Visa:

 

 

What Position are You Applying For?

Check One:

Full Time Part Time

 

State All The Hours You Are Available To Work In The Chart Below

Available

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

From

To

 

Your Employment History
List most recent employment first. Include verifiable voluntary work.

Employer Name
and Address

Date
From/To

Type of Work
Performed

Weekly
Salary

Supervisor's
Name

Reason for
Leaving


May we contact any of the employer's above? Yes No
If Yes, please provide phone numbers for any above.

IMPORTANT NOTICE: Working Papers or a Birth Certificate May be Required Prior To Employment.

Are you under the age of 18 or over 70? Yes No Can you supply proof of age? Yes No

Drivers License # Do you have any points on it? Yes No

Can you provide proof of your driving record? Yes No

Have you been convicted of a felony or misdemeanor? Yes No

If Yes, provide dates and details

 

The facts set forth in my application for employment are true and complete. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. I agree that all individuals supplying information about me, for reference purposes, are released from liablility. If a job opportunity is offered, I shall comply with all of Labor Panes, Inc. uniform requirements. I understand the selection of employees will be on the basis of occupational qualification, education and character without regard to age, sex, race or national origin.

 

 

 

Serving: Union, Mecklenburg, Irredell, Cabarrus and Gaston County
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