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Instructions: Complete all information. You may be asked to provide additional information
on another form. This application will be kept on file. It is to your advantage
to periodically check to keep it current and active. This application will not be
kept on file for longer than 6 months. Any person who needs accommodations for employment
must notify The Nailco Group in writing within 182 days after the need for accommodation
is known. |
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Name: |
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Street Address: |
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City: State: Zip:
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Email Address:
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Phone[(999)999-9999]:
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Position Applied For: Shift Preferred:
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Expected Pay:
On what date would you be available for work (mm/dd/yyyy)?
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Would you accept full-time work?
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Would you accept part-time work?
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Are you willing to work weekends and holidays?
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Are you willing to work overtime?
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Would you be willing to relocate?
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Do you have reliable means of transportation to enable you to get to work in a timely
manner?
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Special Training or skills (languages, machine operation, computer experience, etc.)
that would be of special benefit in the job for which you are applying:
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Are you legally eligible for employment in the United States?
(If yes, proof is required) |
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Are you 18 years of age or older?
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Have you ever been convicted of or pleaded guilty or no contest to a felony?
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Are there any felony charges currently pending against you?
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If the answer to either question is yes, describe the nature of the offense, charges,
or sentence and the date of the charges or sentencing:
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Are you able to perform, with or without reasonable accomodations, all of the job
functions of the position for which you are applying?
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Have you ever been employed by the Nailco Group?
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If yes, dates: |
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Do you have relatives employed by the Nailco Group?
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If yes, please give employee's name: |
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Do you have friends employed by the Nailco Group?
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If yes, please give employee's name: |
How did you learn about employment with The Nailco Group?
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If referred by a Nailco Group Employee, please give employee's name: |