Careers - Universal Printing Company

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Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Date Available to Start*

Salary Requirement

If you are under 18 and we require a work permit, can you furnish one?*

Yes
No
Not Applicable

If no, please explain:*

Have you ever worked for this company before?*

Yes
No

If yes, when?*

Are you a citizen of the United States?*

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No

If not, are you legally allowed to work in the United States?*

Yes
No

Type of employment desired:*

Full-Time
Part-Time
Temporary
Seasonal

Have you ever plead “guilty”, “no contest” or been convicted of a crime?*

Answering “YES” to this question does not constitute an automatic rejection for employment. Date of offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.

Yes
No

If yes, please provide details:*

Driver's License Number (If applicable):

Driver's License State

Summarize your special skills or qualifications:

How many previous employers would you like to list?

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Two
Three

Previous Employer 1

Dates of Employment

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To:*

Position(s) Held:

Company Name:*

Company Address:*

Street Address Address Line 2 City State ZIP Code

Company Phone:

Supervisor Name and Title

Responsibilites:*

Salary:*

May we contact this employer for a reference?*

Yes
No

Previous Employer 2

Dates of Employment

From:*

To:*

Position(s) Held:

Company Name:*

Company Address:*

Street Address Address Line 2 City State ZIP Code

Company Phone:

Supervisor Name and Title

Responsibilites:*

Salary:*

May we contact this employer for a reference?*

Yes
No

Previous Employer 3

Dates of Employment

From:*

To:*

Position(s) Held:

Company Name:*

Company Address:*

Street Address Address Line 2 City State ZIP Code

Company Phone:

Supervisor Name and Title

Responsibilites:*

Salary:*

May we contact this employer for a reference?*

Yes
No

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How did you hear about us?

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application. In the event that I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.*

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Employment Application

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