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First Name:
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Last Name:
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Phone:
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Email:
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Alt. Phone:
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Address:
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City:
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State:
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US Citizen?
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If no, are you legally entitled to work in the U.S.?
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What office are you applying for?
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Which position are you applying for?
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Are you Bi-Lingual?
If so, what other language are you fluent in?
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When are you available?
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Today's date:
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Have you ever been convicted of any law violation (except a minor traffic violation)?
If YES, give details( A "yes" answer does not autmatically disqualify you from employment, the nate of the offense, date and the job for which you are applying will also be considered):
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Have you ever applied for a job with AvantGuard Monitoring Centers before
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If yes, when and where?
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Have you ever worked for this company before?
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If yes, when and where?
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How did you hear about AvantGuard Monitoring Centers?
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EMPLOYMENT HISTORY
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Employer Name:
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Employer Address:
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Employer Phone:
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Employment Dates
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From:
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End:
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Supervisor's Name:
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Job Title:
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Last Salary:
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Reason for leaving:
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May we contact this employer?
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Employer Name:
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Employer Address:
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Employer Phone:
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Employment Dates
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From:
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End:
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Supervisor's Name:
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Job Title:
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Last Salary:
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Reason for leaving:
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May we contact this employer?
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Employer Name:
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Employer Address:
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Employer Phone:
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Employment Dates
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From:
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End:
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Supervisor's Name:
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Job Title:
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Last Salary:
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Reason for leaving:
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May we contact this employer?
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EDUCATION
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HIGH SCHOOL
Name:
City and State:
Number of years:
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COLLEGE
Name:
City and State:
Number of years:
Graduated?
Major / Interest:
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GRADUATE SCHOOL
Name:
City and State:
Number of years:
Graduated?
Major / Interest:
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VOCATIONAL/OTHER
Name:
City and State:
Number of years:
Graduated?
Major / Interest:
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Activities and Honors:
List any Special Skills, Licenses or Certifications:
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REFERENCES
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REFERENCE #1
Name:
Occupation:
Years Known:
Phone Number:
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REFERENCE #2
Name:
Occupation:
Years Known:
Phone Number:
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REFERENCE #3
Name:
Occupation:
Years Known:
Phone Number:
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General Information (if any):
By sumbmitting this application, I certify that the information contained in this application is true and correct to the best of my knowledge and agree to have any of the statements checked by the company unless I have indicated to the contrary. I authorized the references listed to provide the company any and all information concerning my previous employment and any other pertinent information they may have. I understand that falsification of this application in any detail is grounds for disqualification from further consideration of or dismissal from employment. I agree to conform to the rules and policies of the company and understand that my employment and compensation can be terminated with or without cause and with or without notice at any time at the option of either the company or myself. I further understand that only the President of the company has the authority to enter into an employment agreement for any specified period of time.
Enter the code:
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