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Application For Employment
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Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap or veteran status. Tip: If your resume is in electronic format, attach it to your Email in ASCII format or cut & paste instead of typing everthing in.
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Personal
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Position Desired:
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Last Name
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Middle Initial
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First Name
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Social Security#
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Telephone
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Email
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Address
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City
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Zip/Postal Code
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State/Province
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Salary Requirement
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When will you be available for Work
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Have you ever applied for employment with Industrial Computer Source before?
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Yes |
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If Yes: Month and Year
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No |
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Will you work overtime if asked?
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No |
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Yes |
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Are you legally eligible for employment in the United States?
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Other special training or skills (languages, machine operation, etc.?
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Education
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Graduate School: Name & Location
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Degree or Diploma
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Did You Graduate?
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Yes |
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No |
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No. of Years Completed
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Course of Study
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College: Name & Location
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Degree or Diploma
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Did You Graduate?
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No |
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Yes |
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No. of Years Completed
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Course of Study
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Busines/Trade/Tech: Name & Location
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Degree or Diploma
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Did You Graduate?
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Yes |
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No |
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No. of Years Completed
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Course of Study
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High School: Name & Location
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Degree or Diploma
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Did You Graduate?
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Yes |
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No |
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No. of Years Completed
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Course of Study
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Membership in Personal or Civic Organizations
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Employment History
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Please give accurate, complete full-time and part-time employment records. Start with your present or most recent employer.
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1
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Company: Name, Address, State, Country, ZIP or Postal Code
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Job Title
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Job Description
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Years Employed
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From
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To
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Weekly Pay
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Telephone
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Start
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Last
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Supervisor
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Reason for Leaving
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2
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Company: Name, Address, State, Country, ZIP or Postal Code
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Job Title
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Job Description
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Years Employed
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From
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To
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Telephone
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Weekly Pay
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Start
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Last
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Supervisor
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Reason for Leaving
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3
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Company: Name, Address, State, Country, ZIP or Postal Code
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Job Title
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Job Description
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Years Employed
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From
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To
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Telephone
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Weekly Pay
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Start
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Last
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Supervisor
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Reason for Leaving
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We may contact the employers listed above unless you indicate those you do not want us to contact.
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