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What position are you seeking?

If you are under the age of 18, can you provide required proof of your eligibility to work?

YES
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Have you ever applied with Exovations before?

YES
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Are you prevented from lawfully becoming employed in this country due to Visa or Immigration
status? (Proof of Citizenship will be required upon employment)

YES
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Are you currently employed?

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May we contact your present employer?

YES
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On what date would you be available to begin work?

Which type of work schedule can you work? (check ALL that apply)
FULL TIME
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SHIFT WORK
TEMPORARY WORK
CONTRACT WORK

Are you currently on “lay-off” status and subject to recall?

YES
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Can you travel if the job requires it?

YES
NO

Have you ever been convicted of a felony?

YES
NO

If yes, please explain:

EDUCATIONAL BACKGROUND

What is the highest level of education you completed?: Elementary School only High School, no degree High School degree Vocational School Some University courses University degree Some Graduate level courses Masters Degree Some Doctorate level courses Doctorate Degree

Name of High School attended: Years attended:

College/Trade School attended: Years attended:

Degree:

Other College Attended: Years attended:

Degree:

Other Attended: Years attended:

Degree:

Describe any specialized training, apprenticeship, skills, extracurricular activities, or military training
related to this job:

Do you speak any foreign languages?

YES
NO

EMPLOYMENT BACKGROUND

Start with your present or last employer; include any volunteer or military experience. You may exclude
references to anything which indicates race, creed, color, national origin, gender, disability, or any other
protected status.

MOST RECENT AND/OR CURRENT EMPLOYER:

Employer: Dates Employed:

Employer Address:

Employer Phone Number:

Position/Title:

Work Performed:

Rate of Pay:

Start: End:

Reason for Leaving:

PREVIOUS EMPLOYER:

Employer: Dates Employed:

Employer Address:

Employer Phone Number:

Position/Title:

Work Performed:

Rate of Pay:

Start: End:

Reason for Leaving:

PREVIOUS EMPLOYER:

Employer: Dates Employed:

Employer Address:

Employer Phone Number:

Position/Title:

Work Performed:

Rate of Pay:

Start: End:

Reason for Leaving:

PROFESSIONAL REFERENCES

Please list three professional referrences we can contact regarding your work performance.

REFERENCE ONE

Reference Name: Relation:

Phone Number:

REFERENCE TWO

Reference Name: Relation:

Phone Number:

REFERENCE THREE

Reference Name: Relation:

Phone Number:

By clicking "I agree," I certify that the information contained in this application is true and complete. I
understand that false information may be grounds for not hiring me or for immediate termination of
employment at any point in the future if I am hired. I authorize the verification of any or all information
listed above.

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