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What endorsements do you have, if any?
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Have you ever been employed by this company?
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What events in your past work history would qualify you for this position?
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Employment History
List all employment starting with present or most recent employer. Please state:
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State Employer, Address, Dates worked from/to, position held, rate of pay, reason for leaving
Employer 2 (Employer, Address, Dates worked, Position Held, Rate of Pay, Reason for Leaving)
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State Employer, Address, Dates worked from/to, position held, rate of pay, reason for leaving
Employer 3 (Employer, Address, Dates worked, Position Held, Rate of Pay, Reason for Leaving)
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State Employer, Address, Dates worked from/to, position held, rate of pay, reason for leaving
May we contact your present employer
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If no, please explain:
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Use this space to identify names and telephone numbers of people to contact to verify this information:
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Have you ever been discharged by an employer?
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If so, give date and summarize the reason, or reasons:
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Education
High School Name, From/to, GPA, Graduation Date
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College/Tech School Name, From/To, Major, Gaduation Date
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References
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Have you ever been convicted of any crime or offense including minor traffic violations?
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If yes, date and charge:
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Are there any pending criminal charges against you other than minor traffic violations?
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If yes, please explain:
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Do you have any physical limitations or disabilities which could interfere with your performance on the job?
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If yes, please explain:
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**Please note: Physical limitations or disabilities do not constitute an automatic bar to employment with Wagner Excavating Inc.**
If employed by Wagner Excavating Inc., you agree to abide by its rules and regulations. Further, you understand that the employment, which is voluntarily entered into, is not for a stated period of time and you are free to resign at anytime. Similarily, Wagner Excavating Inc. may terminate the employment relationship when it believes it is in the company's best interests. Wagner Excavating Inc. may conduct investigations of prior employment history, education, and driving record. By sending in this application, you authorize the company to make these investigations and you indicate awareness that false statements or failure to disclose information may disqualify you for employment or, if employed, may result in your dismissal.
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Earthwork
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