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> Application for Employment
Application for Employment
Personal Information
Name:
*
Present Address:
*
Permanent Address:
Home Phone:
*
Mobile Phone:
Work Phone:
Please list any Tunex Employee you are related to:
Referred by:
Employment Information
Position Desired:
*
Salary Desired:
*
Date you can start:
*
Year
2011
2012
2013
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
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28
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30
31
Are you currently employed:
*
Yes
No
If so, may we contact your employer:
*
Yes
No
Ever applied to Tunex before:
*
Yes
No
Where:
When:
Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Are you a citizen of the United States:
*
Yes
no
If not, are you authorized to work in the U.S.:
Yes
No
*The age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 65 years of age.
Education
High School:
*
Dates Attended:
*
Did you graduate:
*
Yes
No
Subjects studied:
*
College:
Dates Attended:
Did you graduate:
Yes
No
Subjects studied:
Trade, Business or Correspondence School :
Dates Attended:
Did you graduate:
Yes
No
Subjects studied:
Employment History
Most Recent Employer:
Name, Address, Phone:
Salary:
Position Held:
Reason for Leaving:
Employer 2:
Name, Address, Phone:
Salary:
Position Held:
Reason for Leaving:
Employer 3:
Name, Address, Phone:
Salary:
Position Held:
Reason for Leaving:
References
Reference 1:
*
Address and Phone Number:
*
Business:
*
Years Acquainted:
*
Reference 2:
*
Address and Phone Number:
*
Business:
*
Years Acquainted:
*
Reference 3:
*
Address and Phone Number:
*
Business:
*
Years Acquainted:
*
Physical Record
List any physical conditions which may limit your ability for perform the job(s) applied for:
Emergency Contact:
*
Name, Address, Phone
Are you a Veteran:
*
- Select -
No
Yes
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR IS CAUSE FOR DISMISSAL. FURTHER, I UNDERSTAND AND AGREE THAT MY EMPLOYMENT IS FOR NO DEFINITE PERIOD AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF MY WAGES AND SALARY, BE TERMINATED AT ANY TIME WITHOUT PREVIOUS NOTICE.
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