Employment Application - Seasonal Specialty Stores, Foxboro MA

First Name*

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Last Name*

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Street Address*

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Address, Line 2

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City*

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State*

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Zip Code*

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Email Address*

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Phone*

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Best way to contact you?*

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Date of Birth*

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How did you hear about this job?

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Pay requirements?

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Date available to start work

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Education – High School

High School

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Phone

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Highest grade completed?

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Did you graduate?

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Education – College/University

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Years completed

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Additional Education

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Employment History – Current or Most Recent Employer

Employer

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Address

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Reason for leaving

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Your job title

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Supervisor's name

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May we contact this employer?

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Start date

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Starting pay

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Ending date

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Ending pay

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Describe your job duties and accomplishments

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Employment History – Previous Employer

Employer

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Address

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Reason for leaving

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Your job title

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Supervisor's name

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Ending date

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Describe your job duties and accomplishments

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Briefly describe your long-term career goals.

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Do you hold any professional licenses, certifications, or other special qualifications?

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References

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Position/Company

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Name

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Position/Company

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Phone

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Have you ever been convicted of a felony or misdemeanor offense? If yes, describe.

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Are you legally eligible for employment in the United States?

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I certify that the information I have provided in this emplyment application is accurate and has been completed to the best of my knowledge and ability. I understand that any falsification, misrepresentation, or omission in my interviews or any other employment record may be sufficient reason to not hire me, or may be reason for dismissal.

Signature (type your full name)*

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Date*

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