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General Information

Application for Employment

Notice to applicants: Federal and State law requires that all applications be considered without regard to race, religion, color, sex, age, or national origin. We believe in and fully support the principle of equal employment opportunity and will fulfill our obligation to the fullest.

Full Name *

Nombre

Telephone No *

Today's Date *

Date of Birth *

Fecha de Nacimiento

Present Address *

Nearest Major Intersection *

Interseccion Principal Mas Cercana

How Long Have You Been at this Address? *

Work Phone Number *

May we contact you at work? *

Yes

Podemos contactar con usted en el trabajo?

Please specify hours desired for work on each given day.

Por favor especificar horas deseada para el trabajo en cada dia

Sunday: *

Monday: *

Tuesday: *

Wednesday: *

Thursday: *

Friday: *

Saturday: *

How did you hear of this opening? *

Como se entero de esta apertura?

List any friends or relatives working with SaniCare *

Enumere a cualquier amigo o parientes que trabajan con Sanicare

Why should SaniCare hire you over the "next guy"? *

Por que deberia SaniCare contratarte con el "proximo tipo"?

Employment History

Company *

Contact *

Phone *

Job Title/Position *

Start Date *

End Date *

Starting Salary *

Ending Salary *

Reason for Leaving *

Company *

Contact *

Phone *

Job Title/Description *

Start Date *

End Date *

Starting Salary *

Ending Salary *

Reason for Leaving *

Company *

Contact *

Phone *

Job Title/Position *

Start Date *

End Date *

Starting Salary *

Ending Salary *

Reason for Leaving *

May we contact your employer at the phone number given? *

Yes

Podemos contactar con su empleador actual en el numero de telefono dado?

Education

Name and Location of School *

Highest Grade Completed *

Graduated *

Major/Degree *

GPA *

Name and Location of School *

Highest Grade Completed *

Graduated *

Major/Degree *

GPA *

Name and Location of School *

Highest Grade Completed *

Graduated *

Major/Degree *

GPA *

References

List three professional references not listed elsewhere.

Una lista de tres referencias de profesion no aparece en otros lugares.

Name *

Phone *

Name *

Phone *

Name *

Phone *

READ AND SIGN

The information provided by me in this application for employment is true and complete to the best of my knowledge. I understand that if I am employed by SaniCare, any false statements made in this application will be considered as cause for possible dismissal. You are hereby authorized to conduct any investigation of my personal history and/or credit and financial records, employing investigative or credit agencies or bureaus of your choice, subject to the provisions of the Fair Conduct Reporting Act.
I understand that I may be subject to a criminal history background check and an employment verification based on the information I have provided.

La informacion proporcionada por mi en esta solicitud de empeleo es verdadera y completa al mejor de mi conocimiento. Entiendo que si soy empleado por SaniCare, cualquier declaracion falsa hecha en esta solicitud se considerara como causa de posibles despidos. Se autoriza para llevar a cabo cualquier investigacion de mi historia personal o credito y financiera archivos empleo de investigacion o agencias de credito o agencias de su eleccion, to tema las disposiciones de la ley de informes de conducta justa. Entiendo que puedo ser sujeto a una verificacion de antecedentes de antecedentes penales y una verificacion de empleo basado en la informacion que he proporcionado.

By Selecting 'I Agree', I verify I understand and agree to the above. By selecting 'I Disagree', I acknowledge my application will not be considered. *

Qualified applicants will be required by law, under penalty of perjury, to verify signature with valid ID in-person

General Information

Application for Employment

Full Name *

Nombre

Telephone No *

Today's Date *

Date of Birth *

Fecha de Nacimiento

Present Address *

Nearest Major Intersection *

Interseccion Principal Mas Cercana

How Long Have You Been at this Address? *

Work Phone Number *

May we contact you at work? *

Yes

Podemos contactar con usted en el trabajo?

Please specify hours desired for work on each given day.

Por favor especificar horas deseada para el trabajo en cada dia

Sunday: *

Monday: *

Tuesday: *

Wednesday: *

Thursday: *

Friday: *

Saturday: *

How did you hear of this opening? *

Como se entero de esta apertura?

List any friends or relatives working with SaniCare *

Enumere a cualquier amigo o parientes que trabajan con Sanicare

Why should SaniCare hire you over the "next guy"? *

Por que deberia SaniCare contratarte con el "proximo tipo"?

Employment History

Company *

Contact *

Phone *

Job Title/Position *

Start Date *

End Date *

Starting Salary *

Ending Salary *

Reason for Leaving *

Company *

Contact *

Phone *

Job Title/Description *

Start Date *

End Date *

Starting Salary *

Ending Salary *

Reason for Leaving *

Company *

Contact *

Phone *

Job Title/Position *

Start Date *

End Date *

Starting Salary *

Ending Salary *

Reason for Leaving *

May we contact your employer at the phone number given? *

Yes

Podemos contactar con su empleador actual en el numero de telefono dado?

Education

Name and Location of School *

Highest Grade Completed *

Graduated *

Major/Degree *

GPA *

Name and Location of School *

Highest Grade Completed *

Graduated *

Major/Degree *

GPA *

Name and Location of School *

Highest Grade Completed *

Graduated *

Major/Degree *

GPA *

References

List three professional references not listed elsewhere.

Una lista de tres referencias de profesion no aparece en otros lugares.

Name *

Phone *

Name *

Phone *

Name *

Phone *

READ AND SIGN

By Selecting 'I Agree', I verify I understand and agree to the above. By selecting 'I Disagree', I acknowledge my application will not be considered. *

Qualified applicants will be required by law, under penalty of perjury, to verify signature with valid ID in-person