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Mono Mono Boutique Employment Application | Applicant Information | | Last Name | | First | | M.I. | Date | | | Street Address | | Apartment/Unit # | | | City | | State | | ZIP | | | Phone | | E-mail Address | | | Date Available | | Social Security No. | | Desired Salary | | | Position Applied for | | | Are you a citizen of the United States? | YES | NO | If no, are you authorized to work in the U.S.? | YES | NO | | Have you ever worked for this company? | YES | NO | If so, when? | | | Have you ever been convicted of a felony? | YES | NO | If yes, explain | | | | | Education | | High School | | Address | | | From | | To | | Did you graduate? | YES | NO | Degree | | | College | | Address | | | From | | To | | Did you graduate? | YES | NO | Degree | | | Other | | Address | | | From | | To | | Did you graduate? | YES | NO | Degree | | | | | References | | Please list three professional references. | | Full Name | | Relationship | | | Company | | Phone | ( ) | | Address | | | Full Name | | Relationship | | | Company | | Phone | ( ) | | Address | | | Full Name | | Relationship | | | Company | | Phone | ( ) | | Address | |
| Previous Employment | | Company | | Phone | ( ) | | Address | | Supervisor | | | Job Title | | Starting Salary | $ | Ending Salary | $ | | Responsibilities | | | From | | To | | Reason for Leaving | | | May we contact your previous supervisor for a reference? | YES | NO | | | Company | | Phone | ( ) | | Address | | Supervisor | | | Job Title | | Starting Salary | $ | Ending Salary | $ | | Responsibilities | | | From | | To | | Reason for Leaving | | | May we contact your previous supervisor for a reference? | YES | NO | | | Company | | Phone | ( ) | | Address | | Supervisor | | | Job Title | | Starting Salary | $ | Ending Salary | $ | | Responsibilities | | | From | | To | | Reason for Leaving | | | May we contact your previous supervisor for a reference? | YES | NO | | | | | Military Service | | Branch | | From | | To | | | Rank at Discharge | | Type of Discharge | | | If other than honorable, explain | | | | | 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. | | Signature | | Date | |
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Mono Mono. All rights reserved.
No portion may be copied or redistributed in any
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