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Have you ever been dismissed or asked to re from a job? List degree or diploma. May We Contact This Employer?
Submit Application. I authorize all providers of health care who examine me to disclose to the Company or its agents, all medical information revealed during such examinations. Are you legally eligible for employment in the United States? Name and Location of College.
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Please explain. Company Name. I further authorize Newport Diversified, Inc. In the event that I have a disability which will affect my ability to take the test, I will so inform the Company so that a reasonable accomodation can be made. Most Recent Position.
August 11, Facebook Instagram Twitter. Did you graduate? When will you be available to begin work? I release all parties from all liability for any damage that may result from furnishing informatoin and opinion to you. Status Full Time Part Time. Course of study. Alternate Phone.
How did you hear of our organization? Are you 18 years of age or older?
Pay Expected. Branch of Service. Name and Location of School. Are any of your relatives currently working within this company? Newport Diversified, Inc. I certifythat I, the undered applicant, have personally completed this application. Name Used.
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Employment Please list your most recent 3 positions. Do you have a valid work permit? Preferred address. Have you ever applied or been employed with us?
Supervisor's Phone. If hired, can you provide verification of your legal right to work in the US? Will you work overtime if asked? Personal Information. Position Desired. I understand that any misrepresentations or omissions will disqualify me from further consideration for employment, and will be justification for my dismissal from employment, if discovered at a later date.
Name of Supervisor. Name and Location of High School.
Yes No. Other special training or skills computer, machine operation, etc. Any other education?
Acknowledgments Please read carefully. Zip Code. Describe your duties and any special training. Name s and Location s. This consitutes my entire agree with Newport Diversified, Inc. I further understand that at any time during my employment, I may be required to take a physical examination which may include an alcohol and drug test if management reasonably suspects a condition exists that may cause me to perform my job in a manner that may endanger my health or the safety and health of others.
Foreign language s spoken fluently which would be helpful in position sought:. I agree that my employment is at-will and the terms of employment may be changed with or without cause, with or without notice, including but not limited to termination, demotion, promotion, transfer, compensation, benefits, duties and location of work, at any time, for any reason, at the option of myself or the Company.
Please attach your if you have one. Rank at Discharge. I declare under penalty of perfury that the facts contained in the application or any or other documents submitted are true and complete to the best of my knowledge.
Did you go to, or are you currently attending, college? Have you used any other names under which employment or education may be verified? Complete this section if you served in the U. Armed Forces. Employment Date Range.
Did you go to, or are you currently attending, High School? Please tell us why you would prefer we don't contact this employer. Reason for Leaving. I understand that nothing in this application or in the interview process is intended to create a contract between the Company and myself for either employment or for the providing of any benefits. Check the box next to each paragraph to indicate your agreement.