Employment Application – ctx.auvionlabs.tech

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Application For Employment

An Equal Opportunity Employer

Last Name

the Occupation for

First Name

Middle Initial

Date of Birth:

Address

Street Address

City

Select State

Zip Code

Phone Number

If hired, can you provide evidence of legal eligibility to work in the U.S.?

Any offer of employment is conditioned uponcompleting form I-9 & providing the appropriate documents for identity & work authorization.

Position Desired:

Wage/Salary Desired:

Employment Type

Part time
Full time

Date you can begin work?

Name of high school attended:

City & State

Graduate?

GED?

Name of college or technical school:

City & State

Graduate?

Degree?

List any job-related skills or accomplishments, including military service:

Are you presently enrolled in school?

Yes
No
Other

An Equal Opportunity Employer

Available Days

Total hours per week you are available to work:

Do you have any special requests or needs for a work schedule?

Provide Three References Who Are Not Former Employers Who We May Contact

Name and Occupation

How do you know them, and for how long?

Phone Number

Name and Occupation

How do you know them, and for how long?

Phone Number

Name and Occupation

How do you know them, and for how long?

Phone Number

List names of employers with present or last employer listed first.

May we contact current employers before you are offered a position?

Name of Employer:

Job Title:

Duties:

Address:

Dates of Employment:

Dates of Employment: to

Telephone:

Hourly pay or salary:

Supervisor:

Reason for Leaving: