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BULRAD ENTERPRISES, INC.
A California Corporation
APPLICATION FOR EMPLOYMENT |
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Bulrad Enterprises, Inc. is an equal opportunity employer. Bulrad Enterprises, Inc. does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation or preference, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.
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| Applicant Information |
Date |
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| Last Name |
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First Name |
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Initial |
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Other Name(s) Used |
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| Address |
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Phone |
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| E-mail Address |
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Position Applied for |
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| Referred By |
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Desired Salary |
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Are you eligible to work in the U.S.? |
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Are you at least 18 years or older? |
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If under 18, do you have a work permit? |
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| Have you ever interviewed with this company before? |
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If yes, when? |
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| Have you ever been employed by this company? |
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If yes, list date(s), job title(s): |
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| Are you related to anyone who works for this company? |
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If yes, who?: |
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| Have you ever been terminated from employment or asked to resign by an employer? |
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| If yes, please provide company names and details |
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| Can you work overtime, including weekends? |
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| Are you currently employed? |
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If so may we inquire of your present employer? |
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| Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation? |
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| How did you hear about us? |
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| EDUCATION |
Name and location of school |
No. of yrs. Attended |
Degree Received |
Subjects studied/Major |
| High School |
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| College or University |
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| Trade, Business or Correspondence School |
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| List Any Professional Designations |
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| Other Special Knowledge, Skills or Qualifications |
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| EMPLOYMENT HISTORY Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration |
| From |
To |
Employer Name |
Phone # |
Supervisor Name/Title |
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| Job Title |
Employer Address |
Reason for Leaving |
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| Summarize the nature of work performed and job responsibilities |
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| From |
To |
Employer Name |
Phone # |
Supervisor Name/Title |
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| Job Title |
Employer Address |
Reason for Leaving |
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| Summarize the nature of work performed and job responsibilities |
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| From |
To |
Employer Name |
Phone # |
Supervisor Name/Title |
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| Job Title |
Employer Address |
Reason for Leaving |
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| Summarize the nature of work performed and job responsibilities |
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| From |
To |
Employer Name |
Phone # |
Supervisor Name/Title |
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| Job Title |
Employer Address |
Reason for Leaving |
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| Summarize the nature of work performed and job responsibilities |
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| Disclaimer and Signature |
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Please read carefully before submitting.
I certify that the above information is true and correct. I understand that, in the event of my employment by Bulrad Enterprises, Inc., I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery.
I authorize Bulrad Enterprises, Inc. to inquire into my educational, professional, and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to Bulrad Enterprises, Inc. and will hold Bulrad Enterprises, Inc., and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made based on such information. I further authorize Bulrad Enterprises, Inc. to obtain any credit and consumer check.
I understand that nothing in this employment application, the granting of an interview or my subsequent employment with Bulrad Enterprises, Inc. is intended to create an employment contract between myself and Bulrad Enterprises, Inc. under which my employment could be terminated only for cause. On the contrary I understand and agree that, if hired; my employment will be terminable at will and may be terminated by me or Bulrad Enterprises, Inc. at any time and for any reason. I understand that no person has any authority to enter into any agreement contrary to the foregoing.
If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.
I hereby acknowledge that I have read and agree to the above statements.
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