Are
you registered with any agencies? If so, please list
Have
you interviewed for any companies? If so, please list
Work
History - Please list three dates of employment
Please
list three references including, Name, Company,
Supervisor/Title,
Phone Number, Address
Location
Preferred:
NORTH
TOWNS
Amherst
Clarence
Grand Island
Ken/Ton
Lockport
Niagara Falls
Wheatfield
Williamsville
SOUTHTOWNS
Blasdell
East Aurora
Hamburg
Orchard Park
Lackawanna
Fredonia
Dunkirk
Evans/Angola
EAST
TOWNS
Akron
Alden
Cheetowaga
Lancaster
West Seneca
Albion
CITY
Downtown
East Side
West Side
North Buffalo
South Buffalo
Other
Part 2
Are
you prevented from lawfully becoming employed in the
United
States of America because of immigration or VISA status?
Yes
No
Are
you at least 18 years of age?
Yes
No If no, How old are you?
Have
you ever been employed by our company before?
If
Yes, when?
Are
you currently working more than 1 job?
If
Yes, explain.
Have
you ever been convicted of any other crime than a traffic violation?
If
yes, state the nature of the crime. No party shall be excluded from
consideration
due to prior arrests or convictions.
Have
you ever been discharged or asked to resign from former employment?
If
yes, please explain.
New
York State Human Rights Law and the Federal EEOC Law prohibits
discrimination
based upon race, creed, color, national origin, sex, Marital
Status, age, disability, veteran status, or arrest record.
APPLICATIONS REMAIN ON FILE FOR AT LEAST 120 DAYS.
All
of the above information has been submitted as truth to the best of my
knowledge under penalty of fraud
Must
type "Yes" to submit
