Employment Application
Service First Inc. is an equal opportunity employer dedicated to a policy of non-discrimination based on race, creed, color, age,sex,religion or national origin. Our address is 26 Cook Street, West Springfield, MA 01089 Our contact phone number is 413- 734-0005
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Are you 18 years of age or older
*
Yes
No
Email
Confirmation Email
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Applied For
Salary Desired
List Your Current Employer with contact information
Do we have your permission to contact your present employer?
Yes
No
Not Currently employed
What date are you able to start?
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Month
-
Day
Year
Date
How were you referred to us?
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Walk-In
Referral
Newspaper Ad
Facebook
Twitter
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Other (please specify)
Craigslist
References
Please list two (2) references that are familiar with your work life.
Reference
Reference
Former Employers
Former Employers
Former Employers
Refered By
List any current Service First Employee that you are related to
Education
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Name / location of school
Years Attended
Did you Graduate
Subjects Studied
Grammer School
High School
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Special Subjects studied or area of research
List any foreign languages you speak fluently
Also Indicate if you are able to write fluently in the languages
Activities other than religious (civic, volunteer, athletic etc.)
Are you physically able to perform the duties of the job you are applying for?
*
Yes
No
Do you have any deficit in hearing?
Yes
No
Do you have any deficit in vision?
Yes
No
Do you have any deficit in speech?
Yes
No
Have you ever been injured?
Yes
No
Give details of injury
Certification:
I authorize investigation of all statements made in this application. I understand misrepresentation or omission of facts called for is grounds for dismissal. Furthermore I understand and agree that my employment is for no definite period and that regardless of the date of payment of my wages and salary I may be terminated at any time without previous notice.
Name
First Name
Last Name
Date
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Month
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Day
Year
Date
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