Employment Application

You are applying for: Maintenance Supervisor

We are committed to a policy of Equal Employment Opportunity and will not discriminate on any legally recognized person; including but not limited to race, age, color, religion, sex, marital status, national origin, citizenship, ancestry, mental disability, veteran status, or any other legally protected basis.

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Personal Info






If driving is a requirement, continued employment is contingent on your maintaining a current driver's license

Verification and completion of the I-9 Form must be submitted no later than three business days after date of hire.

Educational Background

High School


College


Trade, Business or Graduate School


i.e. computer programmer/language, equipment operation, special tools or machine used

Work Experience

List your last employers, starting with your present or last place of employment. You may include any verified work performed on a volunteer basis. Only fill out what is needed.

Employer 1






Employer 2






Employer 3






Employer 4






References

Give the names of three persons not related to you, whom you have known at least three years.

Reference 1






Reference 2






Reference 3