Get Adams 9661 1998

IWILL REPORT WAGES APPROVED 1 2 3. -- ------EMPLOYMENT MANAGER DEPAR MENT HEAD GENERAL MANAGER This application lor employment Is sold only for general use throughoullhe United States Adams assumes no responsibilily and hereby disclaims any liability for the nelusion In Ihis lorm of any quesllons or requests fo r Information upon which a violal ion 01 local state and/or lederallaw may be based II is Ihe user s responsibility to ensur l that this form s USB com plies with applicable laws which change from time to time. ApPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONNAIRE EQUAL OPPORTUNITY EMPLOYER PERSONAL INFORMATION DATE NAME LAST NAME FIRST ISOCIAL SECURITY NO. - PRESENT ADDRESS CITY STATE ZI P CODE PERMANENT ADDRESS REFERRE D BY PHONE NO. EMPLOYMENT DESIRED POSITION IDATE YOU CAN START ARE YOU EMPLOYED DYES D I SALARY DESIRED I IF so. MAY WE INQUIRE OF YOUR PRESENT EMPLOYER NO IWHERE EVER APPLIED TO TH IS COMPANY BEFORE IWHEN DNO EDUCATION HISTORY NAME LOCATION OF SCHOOL I YEARS ATTENDED DID YOU GRADUATE SUBJECTS STUDIED GRAMMAR SCHOOL HIGH SCHOOL COLLEGE TRADE BUSINESS OR CORRESPONDENCE SCHOOL GENERAL INFORMAnON SUBJECTS OF SPECIAL STUDY/RESEARCH WORK OR SPECIAL TRAINING/SKILLS U*S* MILITARY OR NAVAL SERVICE FORMER EMPLOYERS MONTJ YEAR RANK LIST BELOW LAST FOUR EMPLOYERS START1NG WITH LAST ON E FIRST I NAME ADDRESS OF EMPLOYER SALARY -I. IEAS N FOR LEAyIN FROM TO ICAdams APR 1998 CONTINUED ON OTHER SIDE REFERENCES GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU WHOM YOU HAVE KNOWN AT LEAST ONE YEAR* ADDRESS NAME BUSINESS KNOWN AUTHORIZATION I certify that the facts contained In this application are true and complete to the best of my knowledge and understand that jf employed falsified statements on this application shall be grounds for dismissal* I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have personal or otherwise and release the company from all liability for any damage that may result from utilization of such information* I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the forego ing unless it is in writing and signed by an authorized company representative. DATE SIGNATURE INTERVIEWED By DATE - - - - -- - - - - DO NOT WRITE BELOW THIS LINE - - - - -- - - - REMARKS NEATNESS CHARACTER PERSONALITY ABILITY HIRED FOR DEPT. ApPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONNAIRE EQUAL OPPORTUNITY EMPLOYER PERSONAL INFORMATION DATE NAME LAST NAME FIRST ISOCIAL SECURITY NO. - PRESENT ADDRESS CITY STATE ZI P CODE PERMANENT ADDRESS REFERRE D BY PHONE NO. EMPLOYMENT DESIRED POSITION IDATE YOU CAN START ARE YOU EMPLOYED DYES D I SALARY DESIRED I IF so. - PRESENT ADDRESS CITY STATE ZI P CODE PERMANENT ADDRESS REFERRE D BY PHONE NO. EMPLOYMENT DESIRED POSITION IDATE YOU CAN START ARE YOU EMPLOYED DYES D I SALARY DESIRED I IF so. MAY WE INQUIRE OF YOUR PRESENT EMPLOYER NO IWHERE EVER APPLIED TO TH IS COMPANY BEFORE IWHEN DNO EDUCATION HISTORY NAME LOCATION OF SCHOOL I YEARS ATTENDED DID YOU GRADUATE SUBJECTS STUDIED GRAMMAR SCHOOL HIGH SCHOOL COLLEGE TRADE BUSINESS OR CORRESPONDENCE SCHOOL GENERAL INFORMAnON SUBJECTS OF SPECIAL STUDY/RESEARCH WORK OR SPECIAL TRAINING/SKILLS U*S* MILITARY OR NAVAL SERVICE FORMER EMPLOYERS MONTJ YEAR RANK LIST BELOW LAST FOUR EMPLOYERS START1NG WITH LAST ON E FIRST I NAME ADDRESS OF EMPLOYER SALARY -I. .