HVL POA Employment Application
Today's Date:
*
-
Month
-
Day
Year
Date
Full Name:
*
First Name
Last Name
Email Address:
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example@example.com
Phone Number:
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previously Employed by HVL POA?
*
If yes, list year and position.
Position Desired:
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Desired Pay:
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Employment Desired:
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Full-Time
Part-Time
Seasonal
Date available to Begin Working:
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Month
-
Day
Year
Date
Are you eligible to work in the U.S.?
*
Are you available to work overtime, if needed?
*
Do you require a work permit (under age 18)?
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Have you ever been convicted of a felony?
*
If yes, explain:
Education
High School:
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City/State:
*
Graduated?
*
If Yes, what year
College
City/State
Back
Next
From
Date
To
Date
Degree
College
City/State
From
Date
To
Date
Degree
List computer/technology related skills
*
Military Service
Have you served in the US Armed Forces?
*
If yes, which branch?
Military Training
Rank at Discharge
If not honorable, please explain.
Work Experience
Company Name #1
*
From
*
Date
To
*
Date
Phone Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Zip Code
*
Job Title
*
Responsibilities
*
Ending Pay
*
Reason for Leaving or Currently Employed There?
*
Back
Next
Company Name #2
From
Date
To
Date
Phone Number
Format: (000) 000-0000.
Street Address
City
State
Zip Code
Job Title
Responsibilities
Ending Pay
Reason for Leaving or Currently Employed There?
Company Name #3
From
Date
To
Date
Phone Number
Format: (000) 000-0000.
Street Address
City
State
Zip Code
Job Title
Responsibilities
Ending Pay
Reason for Leaving or Currently Employed There?
May we contact the employers above?
*
Upload a Cover Letter (Optional)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload a Resume (Optional)
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Choose a file
Cancel
of
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Next
References: (List name, company, phone number and email address for each one.
*
Additional Comments
Background Check/Drug Screening Consent:
If asked, would you consent to a background check and drug screening?
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Yes
No
I, the applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to mu eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.
Applicant Signature
*
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