A JOOMLA51 TEMPLATE

Applicant's Name(*)
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Date(*)
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Current Street Address(*)
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Apt. No.
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City(*)
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State(*)
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Zip Code(*)
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Home Phone(*)
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Are you a citizen of the United States?(*)
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If no, are you authorized to work in the U.S.
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Have you ever worked for this company?(*)
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If yes, when?(*)
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Have you ever been convicted of a misdemeanor or felony including pleas of guilty or no contest? (Do not include convictions that have been expunged or sealed.)(*)
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If yes, explain?
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What position are you applying for?(*)
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Date you can start:(*)
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EDUCATION

High School
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Address
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From
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To
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Did you graduate?
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College
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Address
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From
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To
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Did you graduate?
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Degree
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Trade, Business, or Correspondence School
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Address
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From
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To
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Did you graduate?
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Degree
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PREVIOUS EMPLOYMENT

Company
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Phone
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Street Address
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Supervisor
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Job Title
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Starting Salary
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Ending Salary
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Responsibilities
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From
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To
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Reason For Leaving
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May we contact your previous supervisor for a reference?
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Company
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Phone
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Street Address
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Supervisor
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Job Title
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Starting Salary
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Ending Salary
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Responsibilities
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From
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To
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Reason For Leaving
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May we contact your previous supervisor for a reference?
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Company
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Phone
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Street Address
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Supervisor
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Job Title
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Starting Salary
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Ending Salary
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Responsibilities
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From
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To
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Reason For Leaving
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May we contact your previous supervisor for a reference?
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REFERENCES

Full Name
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Relationship
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Company
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Phone
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Address
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Full Name
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Relationship
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Company
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Phone
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Address
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Full Name
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Relationship
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Company
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Phone
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Address
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U.S. Military Service
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Rank
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How did you hear about TEMPO?(*)
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DISCLAIMER AND SIGNATURE

PLEASE READ BEFORE SIGNING TEMPO Employment Services is an Equal Opportunity Employer and does not discriminate against any person because of race, physical or mental disability, color, religion, sex, age, sexual orientation, ancestry, national origin or other protected categories in applicable federal, state or local laws.
I certify the facts set forth in my application for employment are true and complete. I understand, if employed, false statements or material omissions on this application may result in my dismissal. I authorize TEMPO Employment Services to verify all statements contained in this application and to make any necessary reference checks.
I authorize the references and employers listed above to give TEMPO Employment Services any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and I release the employers and references I have listed, as well as TEMPO Employment Services, from liability from any damages which may result from furnishing the same to TEMPO Employment Services.
If employed, I agree to conform to all the policies and procedures of TEMPO Employment Services and recognize that my employment relationship will be of an “at will” nature which allows either party to terminate the relationship at any time. Specifically, I recognize that I may resign at any time with or without reason, or TEMPO Employment Services may discontinue my employment at any time with or without cause or prior notice.
Applicant Signature(*)
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Date(*)
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Applicant Email address(*)
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This form has been designed to strictly comply with State and Federal fair employment practice laws prohibiting employment discrimination. We are an equal opportunity employer
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(c) Tempo Employment - All Rights Reserved

40 North Street, Suite 3
Presque Isle, ME 04769
Phone:  207-764-0772
Fax: 207-764-2620
Business Hours: Mon-Fri 8:00 am – 5:00 pm