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Employment
 
PERSONAL INFORMATION
Name  
Present Address  
Permanent Address
Email Address
Phone  
Cell
Are you 18 years old or older?
Are you prevented from lawfully becoming employed in the country because of VISA or Immigration status?
 
EMPLOYMENT DESIRED  
Position  
Date you can start  
Salary Desired  
Are you employed now?
If yes, may we contact your present employer?
Ever applied to the MCC before?
If yes, when?  
Referred by  
   
EDUCATION  
High School Name  
Address  
Did you graduate?
If yes, when?  
   
College Name  
Address  
Did you graduate?
If yes, when?  
Major  
   
Trade, Business, Correspondence School  
Address  
Subjects Studied  
   
GENERAL  
Special Studies or Research Work  
Special Skills  
Activities (Civic, Athletics, etc.)  
U.S. Military or Naval Service  
National Guard or Reserve  
   
FORMER EMPLOYMENT (Last 3 Employers)  
Employer  
Address  
Salary  
Position  
Reason for Leaving  
Start Date  
Date Departed  
Employer #2  
Address  
Salary  
Position  
Reason for Leaving  
Start Date  
Date Departed  
Employer #3  
Address  
Salary  
Position  
Reason for Leaving  
Start Date  
Date Departed  
   
REFERENCES  
Name  
Address  
Business  
Years Acquainted  
Name  
Address  
Business  
Years Acquainted  
Name  
Address  
Business  
Years Acquainted  
   
In case of emergency:  
Contact Name  
Contact Phone  
   

Other Comments/Questions

For more information on these and other positions at the club, contact Ruth Hooker at 478-452-3525.

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