Rebuilder

Resumepdf file only

Application

General Questions

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Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accommodations? --Select One-- Yes No Have you been convicted of any felonies other than minor traffic violations during the past seven years? (A criminal record or a conviction will not automatically bar employment but will be considered only as it reasonably relates to your fitness to perform in the position for which you are applying.) --Select One-- Yes No

Education

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High School Attended High School Graduated Year College Attended College Graduated Year College Degree of Study Any Academic Honors or Awards

Skills

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Please list any skills you have that are appropriate for the position you are applying for. Interests / Accomplishments You may wish to list significant experience, interests, and accomplishments gained while working as a volunteer or as a hobbyist that may be useful in the position you are seeking. Names or organizations designating religion, race, etc., need not be mentioned. State fully why you believe you are qualified for this position.

Hours/Pay

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Work Availability. List any days or times you are not available. Are you willing to work Overtime --Select One-- Yes No Position you are applying for Salary Requirements

Employment

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Starting with your PRESENT or MOST RECENT EMPLOYER list in consecutive order, ALL EMPLOYMENT for at least the last three employers.

If currently employed, may we contact your employer? --Select One-- Yes No Company City/State Position Job Duties Reason for Leaving Employed From/To Date

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Company City/State Position Job Duties Reason for Leaving Employed From/To Date

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Company City/State Position Job Duties Reason for Leaving Employed From/To Date