Lions Club Tube Rental Employment Application

Previous Employment
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Job Responsibilities
From
To
May we contact for reference?

Yes No
Reason for leaving
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Job Responsibilities
From
To
May we contact for reverence?

Yes No
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Job Responsibilities
From
To
May we contact for reference?

Yes No
Military Service
Branch
From
To
Rank at Discharge
Type of Discharge
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand this is temporary seasonal employment.
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Date *

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