Professional Documents
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Employment Application
Name:
Buchanan
EMPLOYEE INFORMATION
Hannah Marae
Are you able to perform the essential functions of the position with or without accommodations?
Yes 14 18 Yes No 15 19 No Yes No 16 21 (Check one)
If necessary for the job, I am able to: Yes Work overtime? Yes Provide a valid Alaska Driver's License? If so, fill out the following: Issuing state: Type: Endorsement(s):
Hazardous Material Tankers School Bus Any Split Day Night Other:
No No
Passengers
EMPLOYMENT HISTORY
List most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here, in the summary following this section or on an extra sheet of paper if necessary. No more than 10 years history recommended.
Start date:
April 2013
End date:
Present
Cashier Provide customer service, operate cash register, assemble orders, stock supplies, and provide a clean work space.
Telephone: 507-377-2834
Rev. 8/2010
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Summarize other employment related to this job:
EDUCATION
Institution name High school College/university Business/technical Additional
Northwood-Kensett
Years completed
4 N/A
Field of study
Graduate or degree
High school diploma
MILITARY
Are you a veteran? Duty/specialized training: Yes No
Types of computers, software, and other equipment you are qualified to operate or repair:
Apple and Dell computers; Microsoft and Pages Document
Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employers attention:
N/A
per minute
REFERENCES
List two personal references who are not relatives or former supervisors.
Logan Bidne Name Lisa Nelson Name Lake Mills, IA Address Albert Lea, MN Address 507-402-4784 Telephone 507-383-8923 Telephone Construction Worker Occupation Social Worker Occupation 1 Years known 5 Years known
CONTACT
In case of accident or illness, please contact: Name: Kelly Aldrich Address: Emmons, MN Daytime phone: 507-318-3190 Relationship: Mother
Signature of Applicant
Date
Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your application for employment. Developed at employer request by the Alaska Department of Labor & Workforce Development, Employment Security Division. Rev. 8/2010 Employment Application Page 2 of 2