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First Name:Last Name:Email:Present Address:City:

Zip Code:Phone (use dashes):How did you hear about us?

Position:Start Date (MM/YYYY):Salary Desired:Currently Employed?

May We Contact Your Current Employer?

Have you ever applied to Barron?

Where?When?Are you legally authorized to work in the United States?

Please mark your highest level of completion.

Major:

Special Training or SkillsService/Warehouse:

 Office/Computer:

Other:Other Skills:

*If No Previous Job History, Please Fill In N/A.

Employer 1

Employed From: (MM/YYYY)To: (MM/YYYY)Business Name and Phone:Salary:Position:Reason for Leaving:

Employer 2

Employed From: (MM/YYYY)To: (MM/YYYY)Business Name and Phone:Salary:Position:Reason for Leaving:

Employer 3

Employed From: (MM/YYYY)To: (MM/YYYY)Business Name and Phone:Salary:Position:Reason for Leaving:

Employer 4

Employed From: (MM/YYYY)To: (MM/YYYY)Business Name and Phone:Salary:Position:Reason for Leaving:

Give below the names of two persons not related to you whom you have known at least one year.

Reference 1

Name:Phone:Business:Years Known:

Reference 2

Name:Phone:Business:Years Known:

If you have a resume, please upload it as either a Word doc or PDF (.doc, .docx, or .pdf)

The information contained in this application is true and complete to the best of my knowledge and belief. I understand that any false or inaccurate information or misrepresentation of fact or omission of information requested, as stated or implied, given in my application, interview(s), or any other employment form, may be sufficient reason not to hire me and may be reason for dismissal. I understand that I will be required to pass a pre-employment drug screen and background check.I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representatives for seeking such information, and all other persons, corporations, or organizations for furnishing such information.Barron Equipment is an Equal Opportunity Employer. Regardless of race, color, age, marital status, religion, gender, sex, national origin, genetic information, sexual orientation, mental or physical disability or any other status protected by law, our practice is to ensure equal opportunity for each individual.While I understand that this application will be kept on file for a period of up to one year, I further understand that this application will be considered active for a period not to exceed 6 months. I understand that if I wish to be considered for employment beyond this period, I should inquire as to whether or not applications are being accepted for the position for which I am interested and, if so, submit a new application.I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.I hereby acknowledge that I have read and understand the above statement.
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