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  • APPLICATION FOR EMPLOYMENT

    PRE-EMPLOYMENT QUESTIONNAIRE - AN EQUAL OPPORTUNITY EMPLOYER
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  • EDUCATION

  • EXPERIENCE

    Most recent or current employer
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  • EXPERIENCE

    Prior employment
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  • EXPERIENCE

    Additional prior employment, if needed
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  • REFERENCES

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  • PRE-INTERVIEW QUESTIONS FOR JOB APPLICANTS

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  • I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN AND THE REFERENCES LISTED ABOVE TO GIVE ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT. I FURTHER AUTHORIZE AND CONSENT TO A BACKGROUND CHECK AT ANY TIME PRIOR TO OR DURING MY EMPLOYMENT, IF EMPLOYED.

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  • FOR OFFICE USE ONLY

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  • THIS APPLICATION, IN ITS ENTIRETY, WILL BE SUBMITTED ELECTRONICALLY

    Copyright © 2014 Alex Alemis, D.D.S. All Rights Reserved

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