If YES, give dates and positions
Type Of Employment Desired * Required
Do you have a valid driver's license? * Required
If YES, please provide details
EMPLOYMENT HISTORY
Starting with your most recent employer, provide the following information:
Employer 1 Job Responsibilities
Employer 1 Reason for Leaving
Employer 2 Job Responsibilities
Employer 2 Reason for Leaving
Employer 3 Job Responsibilities
Employer 3 Reason for Leaving
Skills and Qualifications
Educational Background
References
PRE-NOTIFICATION OF BACKGROUND INQUIRY
For and in consideration of my application for potential employment with Lovewell Fencing, Inc. I hereby authorize and request that an 'investigative consumer report' (background inquiry) be compiled regarding the undersigned. I understand that this inquiry may include information regarding my character, personal characteristics, mode of living and general reputation.
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By placing my signature below, I acknowledge that this background inquiry may involve the request of any or all of the following as allowed by law:
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Any public record of criminal convictions
Any incident of dishonesty, theft, moral turpitude, violence, or drug-related offenses reported by merchants, employers, businesses or individuals.
Any credit bureau report
Any driving history related to infractions or accidents
Any previous employment records
Any public semi-public or proprietary record depository
I hereby authorize and request the cooperation of any governmental or law enforcement agencies, credit bureaus, proprietary databases, former employers, business sources, or individuals called upon by Lovewell Fencing Inc. or its authorized agent, in the release and dissemination of the requested information.
I further authorize Lovewell Fencing, Inc and/or its agent to make further like inquiries from time to time, a deemed necessary for employment purposes. I waive any further notice with respect to inquires made by or on behalf of Lovewell Fencing, Inc., and agree to generally release and fully discharge Lovewell Fencing, Inc, its authorized agent, every such law enforcement agency, every such governmental agency, every such prior employer, every such credit bureau, database, or individual with regard to the release and dissemination of the requested information.
Addresses for the last 7 years. Include house number, street, city, state and county
MATH ASSESSMENT
Please answer the following questions to the best of your ability. Paper and pencil can be used as necessary but please do not use calculators or cell phones. This is not a pass fail, just an assessment of your knowledge.
VOLUNTARY SURVEY
Lovewell Fencing, Inc. is required by the state and federal laws to furnish statistical data and to maintain records of certain population characteristics of those applying for jobs with us. The information you supply will be used for statistical purposes only. If you are offered employment with Lovewell Fencing, Inc. it will not be used as employment criteria. Lovewell Fencing, Inc is an equal employment opportunity employer supporting diversity in the workplace. Thank you for your cooperation in completing this form.
Referral Souce: How did you lean of this position?
Check any of the following that are applicable
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