General Application – Full Time & Part time April 8, 2022 by admin Online Application *Name0/50*Daytime Phone*E Mail*Address Street*Address City*Address State*Address Zip Code*Position Applying For*Type Of Work Requesting Full-Time Part-Time *Date available for work*Request for starting wage*Did someone refer you? If yes, who?PREVIOUS WORK EXPERIENCE(1)Company Name*Company Phone*Company Address Street*Company Address City*Company Address State*Company Address Zip Code*Employment dates (from & to)*Position held/title*Supervisor Name*Salary or hourly rate (beginning and ending)*Job duties performed*Reason for leaving*May we contact the employer above for a reference? Yes No PREVIOUS WORK EXPERIENCE (2)*Company Name*Company Phone*Company Address Street*Company Address City*Company Address State*Company Address Zip Code*Employment dates (from & to)*Position held/title*Supervisor Name*Salary or hourly rate (beginning and ending)*Job duties performed*Reason for leaving*May we contact the employer above for a reference? Yes No PREVIOUS WORK EXPERIENCE (3)*Company Name*Company Phone*Company Address Street*Company Address City*Company Address State*Company Address Zip Code*Employment dates (from & to)*Position held/title*Supervisor Name*Salary or hourly rate (beginning and ending)*Job duties performed*Reason for leaving*May we contact the employer above for a reference? Yes No EDUCATION / TRAINING*High School Name*High School Address*Year GED/Diploma Was Received*Post Secondary School Name*Post Secondary Course of Study*Post Secondary Year Diploma ReceivedADDITIONAL QUALIFICATIONSPlease state any additional qualifications/experience that would qualify you for the position you are applying for.*Do you have a valid drivers license? Yes No If yes to the previous, please list your drivers license number.*Are you legally eligible for employment in this country? (Proof of U.S. citizenship or immigration status is required upon employment) Yes No *Do you have a record of founded child abuse or dependent adult abuse? Write YES or NO. If YES, please explain.*Have you ever been found guilty of professional ethics code violations or professional misconduct? Write YES or NO. If YES, please explain.*Have you ever been convicted of a crime in this state or any other state? Write YES or NO. If YES, please explain.*Please state any additional qualifications or experience that would qualify you for the position you are applying for.REFERENCESPlease list at lease one past employer and two personal references, other than family, that you feel would be able to give information pertinent to this position.*Reference #1 Name*Reference #1 Years Known*Reference #1 Relationship*Reference #1 Phone Number*Reference #2 Name*Reference #2 Years Known*Reference #2 Relationship*Reference #2 Phone Number*Reference #3 Name*Reference #3 Years Known*Reference #3 Relationship*Reference #3 Phone NumberResumeIf you wish, please attach your resume.Cover LetterIf you wish, please attach a cover letterLegal StatementI hereby give Unlimited Services the right to investigate all references and to secure additional information such as a Criminal History Check, Dependent Adult and Child Abuse Check, and a Motor Vehicle Record Check. I hereby release Unlimited Services and its representatives from liability for seeking such information and all other persons, corporations or organizations for funishing such information. I understand that you expect honesty from all employees and dishonesty is grounds for termination. All information I have provided on this application is true. Unlimited Services does not discriminate in hiring on the basis of race, color, sex, citizenship, national origin, ancestry or on the basis of age or physical or mental disability unrelated to ability to perform the work required. No question on this application is intended to secure information to be used for such discrimination. If employed, I will be required to complete an Employment Verification Form (I-9), and within three working days show satisfactory evidence of identity and eligibility for employment. This application is current for one year. At the end of this time, if I have not heard from Unlimited Services and still wish to be considered for employment, it will be necessary to fill out a new application.*Type FULL name and today's DATE to acknowledge that the above information is correct and filled out to best of knowledge.