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Employment Application

(Answer all questions in entirety)

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or the presence of a non-job-related medical condition or handicap.

Seeking Position As:
Name (Last, First):
Address:
Address Line 2:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email Address:
Country of Citizenship:
If not a U.S citizen, do you have a Permanent Resident card?

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General Information

Position Desired:
Salary Desired:
Date Available to Start:
Referred By:
Are You Currently Employed:
If "Yes", Can We Contact Your Employer:
Have You Applied in the Past:
If "Yes" When:

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Education History

Please provide the following information about each school you have attended during your educational career.

High School

School Name & Location:
Did You Graduate:
Subjects Studied:

Trade/Technical School

School Name & Location:
Did You Graduate:
Subjects Studied:

College/Degree Program

School Name & Location:
Did You Graduate:
Subjects Studied:

Other Information

Please provide any other information we should consider in evaluating your application for employment.

Subjects of Special Study, Research Work, or Special Training & Skills:
U.S. Military Veteran:
If "Yes", Rank:

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References

Please provide the following information for three(3) individuals who: a) are not related to you; b) you have known at least one year.

Reference #1

Name:
Address:
City, State, Zip:
Phone:
How You Know Reference, and For How Long:

Reference #2

Name:
Address:
City, State, Zip:
Phone:
How You Know Reference, and For How Long:

Reference #3

Name:
Address:
City, State, Zip:
Phone:
How You Know Reference, and For How Long:

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Employment History

Please list employers in order of dates employed starting with most recent.

Current/Most Recent Employer

Company Name:
Dates of Employment: From: year
To: year
Address:
City, State, Zip:
Employer's Phone:
Position Held:
Reason for Leaving:
Responsibilities:

Employer #2

Company Name:
Dates of Employment: From: year
To: year
Address:
City, State, Zip:
Employer's Phone:
Position Held:
Reason for Leaving:
Responsibilities:

Employer #3

Company Name:
Dates of Employment: From: year
To: year
Address:
City, State, Zip:
Employer's Phone:
Position Held:
Reason for Leaving:
Responsibilities:

Employer #4

Company Name:
Dates of Employment: From: year
To: year
Address:
City, State, Zip:
Employer's Phone:
Position Held:
Reason for Leaving:
Responsibilities:

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Completion & Verification

Please include any other information you would like us to consider:

Statement of Understanding

I certify that I personally completed this application, and that the facts contained herein are true and complete to the best of my knowledge. I also understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize WCS Industries to investigate any and all information or statements contained herein, including, but not limited to, work history, alcohol/controlled substance testing, training records, and criminal history. I also authorize any of my listed references and employers to give WCS Industries any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release WCS Industries from all liability for any damage that may result from use of such information.

I also understand and agree that no representative of WCS Industries has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized WCS Industries representative.

The above waiver does not permit the release or use of disability-related or medical information in any manner prohibited by the Americans with Disabilities Act [ADA] or any other relevant federal and state laws. I have read and understand the above statements and acknowledge by affixing my digital signature below.

I have read and understand the above statements:
Full Name as Entered Here:
Your Resume (PDF or Word Document):

Uploading an Unacceptable File Format may lead to all previously entered data being lost and needing to be entered again. Please review list of acceptable files carefully.

Office Phone: