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Employment Application
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Name
*
First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone #
*
Are you eligible to work in the United States
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Yes
No
Are you 18 years of age or older?
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Yes
No
If no, what is your current age?
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Are you currently employed?
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Yes
No
If yes, what is your current job title & department?
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Have you ever been employeed by LJ Gascho Furniture Co?
*
Yes
No
If yes, dates of employment & reason for leaving?
*
Are you related to any current company employee?
*
Yes
No
If yes, their name and their relationship to you?
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Education
Name of School
High School
*
City/State
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Did you Graduate?
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Yes
No
If Yes, Date of Graduation?
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Degree Received
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Major
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GED
*
City/State
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Did you graduate?
*
Yes
NO
If Yes, Date of Graduation?
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Degree Received
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Major
*
Other School
*
City/State
*
Did you graduate?
*
Yes
No
If Yes, Date of Graduation?
*
Degree Received
*
Major
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Please list technical skills, trade skills, or other credentials relevant to this position.
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Work Experience
Please detail your work history beginning with your current or most recent employer.
Please fill out each box and do not simply note: "See Resume"
LJ Gascho Furniture Co. reserves the right to contact all current or former employers for references.
Previous Employer Name & Address
*
Dates Employed
*
*
Full-time
Part-time
Title
*
Primary Duties
*
Supervisor's Name, Title, Phone #
*
Reason for Leaving
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Previous Employer Name & Address
*
Dates Employed
*
*
Full-time
Part-time
Primary Duties
*
Title
*
Supervisor's Name, Title, Phone #
*
Reason for Leaving
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List Other Character References
Name
*
Phone #
*
Name
*
Phone #
*
Upload Resume
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