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Job Application

Dat Havrilla has applied for a position with Career Explorations. He provides his contact information, education history from Fraser High School, and references from three teachers at Fraser Public Schools. Havrilla has no previous work experience or military service. He certifies that the information provided is true and complete.

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75 views2 pages

Job Application

Dat Havrilla has applied for a position with Career Explorations. He provides his contact information, education history from Fraser High School, and references from three teachers at Fraser Public Schools. Havrilla has no previous work experience or military service. He certifies that the information provided is true and complete.

Uploaded by

api-320774852
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CAREER EXPLORATIONS

Employment Application

APPLICANT INFORMATION
Last Name

Havrilla

Street
Address

First

Dat
e
Apartment/Unit
#

Madison

M.I. M

15733 Corso Drive

City

Clinton Township

State

Phone

(586) 738-8367

E-mail Address

Date
7/1/16
Available
Position Applied
for

Social Security
No.

Are you a citizen of the United States?


Have you ever worked for this
company?
Have you ever been convicted of a
felony?

Michigan

ZIP

Fraser high school

From

1
3

School 2

[email protected]
Desired
Wage:

xxx-xx-xxxx

YES x

NO

If no, are you authorized to work in the


U.S.?

YES

NO x

If so, when?

YES

NO x

If yes,
explain

Standard wage

YES x

2017

Address
Did you
graduate?

From
School 3

To

NO x

Address
To

Did you
graduate?

From

YES

YES

NO

Address
To

Did you
graduate?

YES

48026

EDUCATION (PLEASE LIST MOST RECENT FIRST)


School 1

6/3/16

NO

REFERENCES
Please list three professional references you have known at least 3 years and are not friends or relatives.
Full Name

Mary Pinter

Relationshi
p

Company

Fraser Public Schools

Phone

Address

34270 Garfield Road Fraser MI 48026

Full Name

Lauren Johnson

Relationshi
p

Company

Fraser Public Schools

Phone

Address

34270 Garfield Road Fraser MI 48026

Full Name

Scott Ladson

Relationshi
p

Company

Fraser Public Schools

Phone

Address

34270 Garfield Road Fraser MI 48026

Teacher

(586) 439-7200

Teacher

(586) 439-7200

Teacher

(586) 439-7200

NO

PREVIOUS EMPLOYMENT
Company

Phone

Address

Superviso
r
Starting
Salary

Job Title

Ending
Salary

Ending
Salary

Ending
Salary

Responsibilities
From

To

Reason for Leaving

May we contact your previous supervisor for a


reference?

YES

NO

Company

Phone

Address

Superviso
r
Starting
Salary

Job Title

Responsibilities
From

To

Reason for Leaving

May we contact your previous supervisor for a


reference?

YES

NO

Company

Phone

Address

Superviso
r
Starting
Salary

Job Title

Responsibilities
From

To

Reason for Leaving

May we contact your previous supervisor for a


reference?

YES

NO

MILITARY SERVICE
Branch

From

To

Rank at Discharge

Type of Discharge

If other than honorable,


explain

DISCLAIMER AND SIGNATURE


I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
Signature

Date

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