EMPLOYMENT HISTORY1. Employer ___________________________________________________________
Address _____________________________________Phone ________________
Supervisor __________________________________________
From ______________________________ to _____________________________
Reason for leaving ___________________________________________________
Duties performed ____________________________________________________
____________________________________________________________
____________________________________________________________
Last pay rate ____________________ Number of hours worked ____________________
===============
==============2. Employer ____________________________________________________________
Address ___________________________________________Phone _________________
Supervisor __________________________________________
From _________________________________ to _______________________________
Reason for leaving _________________________________________________________
Duties performed __________________________________________________________
____________________________________________________________
____________________________________________________________
Last pay rate ____________________ Number of hours worked ____________________
===============
==============3. Employer __________________________________________________________________
Address ___________________________________________Phone _________________
Supervisor __________________________________________
From _________________________________ to _______________________________
Reason for leaving _________________________________________________________
Duties performed __________________________________________________________
________________________________________________________________________________________________________________________Last pay rate ______________________ Number of hours worked ____________________
===============
==============Miscellaneous Information
Do you have any allergies? ________ If so, to what? __________________________
Are you able to lift at least 50 pounds at least 3 feet off the ground? ______________
What is your salary expectation? ____________ In one year? ___________________
Do you have any pets? ___________ If so, please elaborate ____________________
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