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Fill out the form below to join our team and start your career at Pecola’s
I. Personal Information Full Name Address
Email
Phone
Social Security Number (SSN)
Date Available
Desired Pay
Position Applied For:
II. Employment Eligibility Are you legally eligible to work in the U.S.? —Please choose an option—NoYes Have you ever been convicted of a felony? —Please choose an option—NoYes
If yes, please explain
III. Education
Education Level—Please choose an option—High SchoolCollegeOther Name City/State Did you graduate? —Please choose an option—NoYes If you didn’t graduate, how long did you attend Area of Study Diploma/Degree/Certification Type Add
IV. Previous Employment
Employer Name Employer Address Employer Phone Job Title and Responsibilities Pay Are you still employed?—Please choose an option—NoYes Number of Years Employed Reason for Leaving Add
V. References (Professional Only, No Family Members). Provide a minimum of three.
Reference Relationship Name of Company Title Email Phone Add
VI. Military Service Are you a veteran? —Please choose an option—NoYes
Branch
Rank at discharge
Start Date
End Date
Type of Discharge —Please choose an option—HonorableOther Than Honorable (OTH)Bad Conduct Discharge (BCD)Dishonorable DischargeEntry-Level Separation (ELS)Medical DischargeSeparation for Convenience of the GovernmentDismissalOther
Please explain
VII. Background Check Consent Do you consent to a background check? —Please choose an option—NoYes
VIII. Disclamer Applicant understands that this is an equal opportunity employer and is committed to excellence through diversity. To ensure this application is acceptable, it is recommended to type and print your details. Please complete each section, EVEN IF you decide to attach a resume. I acknowledge that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my termination.
I hereby agree that this data will be stored and processed for the purpose of establishing employment. I am aware that I can revoke my consent at any time.
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