General Application

    Position Applied For:

    Availability:

    Full Name:

    Present Address:

    Phone Numbers (Home)

    Phone Numbers (Cell)

    Present Address:

    Do you have any physical disabilities that could limit your effectiveness in the job applied for?

    If yes, describe:

    EMPLOYMENT RECORD

    List the three most recent employers in the last 5 years:

    Name and Address of Employer:

    Position:

    Dates:

    Starting Salary:

    Ending Salary:

    Reason for Leaving:

    Supervision:

    Special Comment:


    Name and Address of Employer:

    Position:

    Dates:

    Starting Salary:

    Ending Salary:

    Reason for Leaving:

    Supervision:

    Special Comment:


    Name and Address of Employer:

    Position:

    Dates:

    Starting Salary:

    Ending Salary:

    Reason for Leaving:

    Supervision:

    Special Comment:


    May we contact your previous employers?


    If successful, when would you be available

    Rate of pay expected per month?

    Education

    High School

    Last Grade Completed:

    Did You Graduate?

    University, Community College or Institute:

    Name of College or Institute:

    Course:

    Did You Graduate?

    If yes, Degree in:

    If no, last year completed:

    Main Course of Study:

    Secondary Subject(s):

    Occupational Skills:

    Typing (wpm):

    Computer Software:

    Hobbies:

    References (list 3 who are not relatives):

    Name:

    Address:

    Phone:

    Relationship or Title:

    Name:

    Address:

    Phone:

    Relationship or Title:

    The company has the right to terminate at any time for breach of the following confidential information: corporate methodologies, trade secrets, sales, financial or margin information, terms of employment, employee manual and any other act deemed damaging to the corporation.


    The above information in my application for employment is true and complete. I understand that any false statements on this application shall be considered suffcient cause for dismissal. I understand it is the policy of Action Express Inc. to reserve the right to terminate my employment without notice within the first 90 days of my being hired, during which time I will be considered a temporary employee.


    I also understand that I, as a temporary employee, have the right to terminate my employment with Action Express Inc. without notice during the first 90 days of my employment.

    Print Name of Applicant in acknowledgement of above:

     

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