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Employment application:
Thank you for your interest in employment with Your Pampered Home. We will carefully review your application during the initial screening and will contact you if you are selected to continue in the recruitment process.  All applications will be kept on file for 6 months.

All text in GREEN is required.
Applicant Information
Last Name:
  		 First Name:
  
Street Address:
  		 Apartment #:
City:
  		 State:  Zip: 
Phone:
  		 E-mail Address:
  
Date Available:
  		 Desired Salary:
  
Position Applied for:
  
Are you authorized to work in the U.S.?
 Yes No

Have you ever worked for this company?

Yes No

If yes, when?

Have you ever been convicted of a felony?

Yes No

If yes, explain:

YOUR RESUME:
Paste the text of your resume below:
 

DISCLAIMER AND SIGNATURE:
By typing your full name electronically and clicking the Submit Application button below you certify the following:

I voluntarily and knowingly authorize any former employer, person, firm, corporation, school or government agency, its officers, employees and agents to release to the co-op any and all information concerning me except that which would indicate age, race, sex, religion or natural origin. Further, I release all these parties from liability for any damage, except that resulting from misrepresentation which might result from furnishing this information. I certify everything on this application is true, correct and complete without misrepresentations or omissions of any kind whatsoever and any falsification of information will be grounds for termination of employment. If hired, I can provide evidence of my right to work in the United States.

Signature:

 

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