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Carlsbad Management Group - PRE-EMPLOYMENT APPLICATION
We consider applicants for all positions without regard to race, color, religion, sex, nationality, origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap, or any other legally protected status. |
| Personal Information (Last, First, Middle) |
Date: |
| Social Security: |
Present Address: (Street, City, State & Zip)
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Permanent Address: (Street, City, State & Zip)
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| Phone #: |
Are you 18 years or older? (Please circle one) |
Yes No |
| Are you either a citizen or an alien authorized to work in the United States? (Please circle one) |
Yes No |
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Employment Desired
Position |
Date you
can start |
Salary
Desired |
| Type of employment desired. (Please circle one) Full Time Part Time |
| Are you employed now? |
If so, may we contact
your present employer? |
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| Have you been previously employed by Carlsbad Management Group? (Please circle one) |
Yes No |
| If yes, from_____________, to _____________ |
Trade, Business or
Correspondence
School |
Trade, Business or
Correspondence
School |
Have you ever been convicted of a felony? If so, explain:
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| Former Employers (List below last four employers, starting with the last one first.) |
| Employer |
Dates Employed |
Work Performed |
| From |
To |
| Job Title |
Supervisor |
Hourly Rate/Salary |
Telephone Number(s) |
| Starting |
Final |
| Employer |
Dates Employed |
Work Performed |
| From |
To |
| Job Title |
Supervisor |
Hourly Rate/Salary |
Telephone Number(s) |
| Starting |
Final |
| Employer |
Dates Employed |
Work Performed |
| From |
To |
| Job Title |
Supervisor |
Hourly Rate/Salary |
Telephone Number(s) |
| Starting |
Final |
| Employer |
Dates Employed |
Work Performed |
| From |
To |
| Job Title |
Supervisor |
Hourly Rate/Salary |
Telephone Number(s) |
| Starting |
Final |
I certify that all the information provided by me in this application is true and complete. I understand any misstatement, falsification or omission of information is grounds for refusal to hire, or if hired, termination.
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I authorize the person and organizations identified in this application to give you all information concerning my previous employment, education, or any other information they might have. I release all such parties from liability from any damages, which may result from furnishing such information to you.
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I authorize you to verify all information given on this application and contact all references, previous employers and schools. I authorize investigation of all statements contained in this application for employment by an independent screening agency. This screening may involve any state agency or credit reporting service. I also agree to release all parties from all liability for any damage that may result from furnishing this information.
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I further acknowledge that if I am employed by the employer, my employment will be at-will, and may be terminated with or without cause at any time by me or by the employer.
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| I agree to follow the rules and regulations of the company, and my employment can be modified or terminated with or without cause, and with or without written notice, at any time, at the option of either the company or myself. I understand that no manager or representative of the company has any authority to enter into any oral agreement regarding the terms of my employment, length of employment or compensation. |
Signature Of Applicant |
Date |
Application Submitted By |
Date |
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