EMPLOYMENT

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    PERSONAL INFORMATION

    Your Name (required)

    Home Street Address (required)

    City (required)

    State (required)

    Zip (required)

    Home Phone

    Cell Phone (required)

    Work Phone

    May we contact you at work?
    YesNo

    Email (required)


    Position(s) applying for
    (Control-click to select)

    Date available

    Are you interested in?
    Check all that apply
    Full-timePart-timeTemporarySummer

    Days and hours available

    Are you willing to relocate? YesNo

    Are you 18 years or older? YesNo
    (No one under age 18 may be hired.)


    EDUCATION

    High School
    Name and address
    Degree/Area of Study
    Number of years attended
    Graduated? YesNo

    College
    Name and address
    Degree/Area of Study
    Number of years attended
    Graduated? YesNo


    US MILITARY SERVICE

    Branch of Service

    Technical Specialization

    Rank attained


    LEGAL

    Are you legally authorized to work in the United States? YesNo
    (Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986)

    Were you ever discharged by any company? YesNo
    If yes, give name of company(ies)
    Reason for the discharge:


    EMPLOYMENT HISTORY

    List employment starting with your most recent position.

    Is any additional information relative to a different name necessary to check your work record?
    YesNo
    If yes, what name?

    Name & Address of Employer 1

    Dates: From to
    Position held: | Supervisor:
    List major duties:
    Salary or Wages: Starting | Final
    Reason for leaving:

    Name & Address of Employer 2

    Dates: From to
    Position held: | Supervisor:
    List major duties:
    Salary or Wages: Starting | Final
    Reason for leaving:

    Name & Address of Employer 3

    Dates: From to
    Position held: | Supervisor:
    List major duties:
    Salary or Wages: Starting | Final
    Reason for leaving:

    Name & Address of Employer 4

    Dates: From to
    Position held: | Supervisor:
    List major duties:
    Salary or Wages: Starting | Final
    Reason for leaving:

    Have you previously worked for The Eagle? YesNo


    REFERENCES

    Business References (Do not list relatives)
    Please list Name, Address, Work Phone, Title, and Years Known



    Federal, State and local laws prohibit discrimination based on race, color, sex, religion, affectional or sexual orientation, national origin, ancestry, age, physical or mental disability that does not affect ability to perform essential job functions with or without reasonable accommodation, or any other protected status not listed in this statement. Your application will be considered in full accord with applicable Federal, State, and local requirements.


    PLEASE READ CAREFULLY

    In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand also, that I am required to abide by all rules and regulations of The Eagle Wilton Manors and its subsidiaries.

    I understand and agree that if employed, employment will be "AT WILL." That is, either I or the employer may end the employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application does not imply employment and that this application and/or any other documentation are not contracts of employment.

    By clicking the below box, you verify that you have read, and understand, the above.
    By checking this box, I agree to submit to a full criminal and credit background check. Offer of employment can be based on certain criteria from this information. All background information obtained is kept private, and credit criteria is based on the Fair Credit Reporting Act.
    CLICK TO ACCEPT:

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