Birdhouses 20241.jpg4 – Dale's on Lake of the Woods

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Position Applying for:

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Employment Desired

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Are you a citizen of the United States?

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If no, are you authorized to work in the US

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If yes, when?

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References

Please list three professional references.

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Previous Employment

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Ending Salary

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May we contact your previous supervisor for a reference?

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Previous Employment

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Supervisor

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Starting Salary

Ending Salary

Responsibilities

From:

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Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

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Previous Employment

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Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From:

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Reason for Leaving

May we contact your previous supervisor for a reference?

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Military Service

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If other than honorable, please explain:

Disclaimer

By submitting this application, you are certifying your answers are true and complete to the best of your knowledge. If this application leads to employment, false or misleading information in this application may result in dismissal.