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Employment Application
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Applicant Note: This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, age, creed, national origin or the presence of disabilities. A felony conviction will not necessarily bar an applicant from employment. Additional testing of job-related skills and for the presence of drugs and/or alcohol in your body may be required prior to employment. After an offer of employment, you will be required to complete a medical history form.
Your Personal Information
Your Name
First
Last
Your Email Address
Phone Number
Best Time To Call You
Mornings
Early Afternoon
Late Afternoon
Early Evening
Upload a Resume
Do you have a resume you want to upload?
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No
Upload Your Resume
Accepted file types: pdf, doc, docx, Max. file size: 25 MB.
Address
*
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
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California
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Connecticut
Delaware
District of Columbia
Florida
Georgia
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Maryland
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Montana
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Northern Mariana Islands
Ohio
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Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Social Security Number
*
Have you ever served in the United States Armed Services?
*
Yes
No
Branch
Army
Air Force
Coast Guard
Marines
National Guard
Navy
Space Force
Dates of Service
*
MM slash DD slash YYYY
Job Related Skills or Schooling
Position You're Applying For
Position Desired
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Hours You Are Available for Work
*
Please tell us what hours you are available for work each day of the week.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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Will you work overtime if asked?
*
Yes
No
Salary Desired
Date Available
*
MM slash DD slash YYYY
Does any of your immediate family work for Greenwood, Inc. or its affiliates?
*
Yes
No
Name of Family Member
*
First
Last
Education
Education Level Completed
*
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
High-School Graduate
GED
Bachelor's Degree
Associate's Degree
Master's Degree
Doctorate
Training / Certification
School
*
Click the (+) to add additional schools.
Name
Did you Graduate?
Degree
Major
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References
Include only individuals familiar with your work ability. Do not include relatives. Click the (+) to add additional references.
Reference List
*
Name
Address
Relationship
Telephone
Employer
Title
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Employment References
Your Previous Employers
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Employer
Dates
Phone
Position
Supervisor
Salary
Duties
Reason for Leaving
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Certification and Release:
*
I certify that I have read and understand the applicant note on page one of this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application may result in rejection of my application or discharge at any time during my employment. I authorize Greenwood, Inc. and/or its agents, including consumer-reporting bureaus, to verify any of this information including, but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. As company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.
I agree to the Certification and Release:
Signature
Today's Date
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