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Employment Application Date : First Name* : Last Name* : Address* : State/Province* : Select AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVTWAWIWVWY Zip/Postal Code* : SS Number* : Home Phone* : Cell Phone* : Positions Applied for* : Select Tax Office Manager Tax Preparer Call Center Receptionist Marketing/Sales Salary Desired* : Select $8 - $10 $11 - $14   >$15 Hours Available to Work: Mon : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM Tue : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM Wed : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM Thu : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM Fri : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM Sat : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM Sun : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM : - 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM Employment Type*: Full-time Part-time Full-Or-Part time When available to begin work?* : Education: Type of School Name of School and Complete Mailing Address No. Years Completed Major or Degree High School College Bus. or Trade School Professional School Other Have you ever been convicted of a crime: Yes No If yes, please explain Do you have a drivers license? Yes No State Of Issue: Select AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVTWAWIWVWY     Driving Licence#: Have you had any accidents in the past 3 years? Yes No How Many?  Do you had any moving violations in the past 3 years? Yes No How Many?  Employment History(List up to 3 with most recent job first) 1. : Not Applicable Name of Employer : Name of last supervisor : Dates of employment : From: To: Salary : From: To: Complete Address : Phone# : Last job title : Reason for Leaving (be specific): List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company: May we contact your employer : YesNo 2. : Not Applicable Name of Employer : Name of last supervisor : Dates of employment : From: To: Salary : From: To: Complete Address : Phone# : Last job title : Reason for Leaving (be specific): List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company: May we contact your employer : YesNo 3. : Not Applicable Name of Employer : Name of last supervisor : Dates of employment : From: To: Salary : From: To: Complete Address : Phone# : Last job title : Reason for Leaving (be specific): List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company: May we contact your employer : YesNo Skills*: Typing(words/minute)*: Select Below Avarage(<30) Avarage(30-45) Above Avarage(>45) Computer: PC  Mac  Both Computer Applications (list all that apply)*: Other Skills: Please list 2 references other than relatives and friends*   Reference#1 Reference#2 Name Position Company Telephone Use this space to add any additional information necessary to describe your full qualifications for the position which you are applying: