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Job Application
Please fill out this form completely and submit it. We will get back to you shortly. Thank you for your interest in Shaver Lake Power Center.
Applicant Information
First Name
*
M.I.
*
Last Name
*
Date
*
Address
*
Apt. #
*
City
*
State
*
Zip
*
Home Phone
Cell Phone
*
Email
*
Date Available
*
Soc. Sec. #
*
Desired Salary
*
Position Applied For
*
Do You Have A Driver's License?
*
Yes
No
Do You Have Experience With Boats or Jet Skis?
*
Yes
No
If You Have Experience With Boats or Jet Skis - Please Explain.
Education
High School
High School Address
From
To
Did You Graduate
Yes
No
Diploma
College
College Address
Started College
Finished College
Did You Graduate College
Yes
No
College Diploma
Other Education (Technical School, Military, Apprentice Program)
Other Education Address
Started Other Education
Finished Other Education
Did You Graduate Other Education
Yes
No
Other Education Diploma
References
First Reference Name
First Reference Relationship
First Reference Company
First Reference Phone
First Reference Address
Second Reference Name
Second Reference Relationship
Second Reference Company
Second Reference Phone
Second Reference Address
Third Reference Name
Third Reference Relationship
Third Reference Company
Third Reference Phone
Third Reference Address
Previous Employment
First Company Name
First Company Phone
First Company Address
First Company Supervisor
First Company Job Title
First Company Starting Salary
First Company Ending Salary
First Company Job Responsibilities
Started First Job
Left First Job
First Job Reason for Leaving
May We Contact Your First Job Supervisor for a Reference?
Yes
No
Second Company Name
Second Company Phone
Second Company Address
Second Company Supervisor
Second Company Job Title
Second Company Starting Salary
Second Company Ending Salary
Second Company Job Responsibilities
Started Second Job
Left Second Job
Second Job Reason for Leaving
May We Contact Your Second Job Supervisor for a Reference?
Yes
No
Third Company Name
Third Company Phone
Third Company Address
Third Company Supervisor
Third Company Job Title
Third Company Starting Salary
Third Company Ending Salary
Third Company Job Responsibilities
Started Third Job
Left Third Job
Third Job Reason for Leaving
May We Contact Your Third Job Supervisor for a Reference?
Yes
No
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to my employment, I understand that false or misleading information in my application or interview may result in my release.
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