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Have you ever worked for Tri-Con, Inc.? |
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How did you learn about us?
Advertisement
Friend
Walk-In
Relative
Other:
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Are you over 18 years of age? |
Yes
No |
If you are under 18 years of age, can you provide proof of eligibility to work? |
Yes
No |
Did you receive a copy of the job descriptiton for the position? |
Yes
No |
Are you physically or otherwise unable to perform the duties of the job for which you are applying? |
Yes
No |
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Yes
No |
Are you legally authorized to work in the United States?
Proof of identity and work authorization will be required upon employment. |
Yes
No |
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Availability:
Full-time
Part-time
Shift Work
Temporary |
Can you travel if a job requires it? |
Yes
No |
Have you ever been convicted or pled guilty or no contest to a felony offense? |
Yes
No |
For purposes of employment with Exxpress Mart, "convictions" include, but are not limited to, sentenced to confinement, paid fine, time served, placed on probation (including deferred adjudication), and court-ordered restitution. |
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*Conviction of a felony will not necessarily bar you from employment. |
EDUCATION |
HIGH SCHOOL: |
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Did you graduate?
Yes
No |
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COLLEGE: |
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Did you graduate?
Yes
No |
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OTHER: |
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Did you graduate?
Yes
No |
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EMPLOYMENT HISTORY
Start with your present or last job. You may also include any activities which you believe demonstrate your qualifications for the position applied. "See Resume" is not acceptable.
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CURRENT OR MOST RECENT EMPLOYER: |
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May we contact your current or most recent employer for a reference?
Yes
No |
NEXT PREVIOUS EMPLOYER: |
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May we contact your current or most recent employer for a reference?
Yes
No |
NEXT PREVIOUS EMPLOYER: |
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to
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May we contact your current or most recent employer for a reference?
Yes
No |
Complete the following information only if applying for a position that requires use of a vehicle while conducting company business. If hired, your information will be verified with a Motor Vehicle Report.
How many traffic violations have you had during the last two years?
Driver's License Number:
State:
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REFERENCES
Name only those persons who are familiar with your work capabilities. Do not list relatives. |
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I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 180 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I understand that I may be required to successfully complete a pre-employment physical examination conducted by a company-authorized physician and that I may be required to successfully pass a pre-employment drug/alcohol screening after I accept a conditional offer of employment. |
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