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Employment Application

A COMPLETED EMPLOYMENT APPLICATION IS REQUIRED FOR CONSIDERATION FOR ANY OPEN POSITION. EQUAL ACCESS TO PROGRAMS, SERVICES AND EMPLOYMENT IS AVAILABLE TO ALL PERSONS. THOSE APPLICANTS REQUIRING REASONABLE ACCOMMODATION TO THEIR APPLICATION AND/OR INTERVIEW PROCESS SHOULD NOTIFY THE OFFICE MANAGER OR HIRING MANAGER.

DANIEL & COMPANY, INC. IS AN EQUAL OPPORTUNITY EMPLOYER

Enter Date in month/day/year format (Example: 08/10/2019)

PERSONAL

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If you answered "No" to U.S. Citizen, and "Yes" to being legally eligible to work in the U.S. you MUST provide your Registration Number, or your application will not be considered.

EDUCATION

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Enter Date in month/year format (Example: 05/2019)

Enter Date in month/year format (Example: 05/2019)

Enter Date in month/year format (Example: 05/2019)

EMPLOYMENT HISTORY

LIST PAST EMPLOYMENT RECORD AS COMPLETELY AS POSSIBLE, STARTING WITH YOUR PRESENT OR MOST RECENT EMPLOYER. INCLUDE SELF-EMPLOYMENT and SUMMER EMPLOYMENT.

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EMPLOYER'S CONTACT INFO

DATES

JOB TITLE/TYPE OF WORK

REASON FOR LEAVING

Enter dates in month/year format (Example: 05/2019)

Enter dates in month/year format (Example: 05/2019)

Enter dates in month/year format (Example: 05/2019)

Enter dates in month/year format (Example: 05/2019)

INTEREST

If none, type "none" in the field above.

Enter number. No need to put any text. Your answer to the next field will tell us whether that number is per hour or per year.

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MILITARY

Enter Date in month/year format (Example: 05/2019)

Enter Date in month/year format (Example: 05/2019)

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SKILLS

ENTER MACHINERY OR EQUIPMENT YOU HAVE MORE THAN 1 YEAR OF EXPERIENCE USING, AND INDICATE THE NUMBER OF YEARS.

CURRENT EMPLOYMENT

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If "Yes" indicate the relationship, and name of the person who referred you in the next fields.

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Enter Date in month/year format (Example: 05/2019)

 

GENERAL

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Answering “yes” to either of the above listed questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation, and position applied for will be considered.
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DANIEL & COMPANY, INC. IS AN EQUAL OPPORTUNITY EMPLOYER

APPLICANT STATEMENT

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application. I understand that that DANIEL & COMPANY does not lawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicants from consideration for employment on any basis prohibited by local, state or federal law.

I understand that any information provided that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (1) eliminate me from further consideration for employment, or (2) may result in discharge from service whenever it is discovered.
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