ࡱ> !` !bjbj\\ >><<<<ltV:(((((TTT1V3V3V3V3V3V3V$XhZWVETLTTTWV((2V V V VT"((1V VT1V V V V( P-%<T V1VV0V V[KU[ V[ V$ VTTTWVWVV TTTVTTTT<< APPLICATION FOR EMPLOYMENT (Pre-Employment Questionnaire) (An Equal Opportunity Employer) PERSONAL INFORMATION  DATE SOCIAL SECURITY NAME NUMBER LAST FIRST MIDDLE PRESENT ADDRESS  STREET CITY STATE ZIP PERMANENT ADDRESS  STREET CITY STATE ZIP PHONE NO. ARE YOU 18 YEARS OR OLDER? Yes Q' No Q' ARE YOU PREVENTED FROM LAWFULLY BECOMING EMPLOYED IN THIS COUNTRY BECAUSE OF VISA OR IMMIGRATION STATUS? Yes Q' No Q' EMPLOYMENT DESIRED  DATE YOU SALARY POSITION CAN START DESIRED IF SO MAY WE INQUIRE ARE YOU EMPLOYED NOW? OF YOUR PRESENT EMPLOYER? EVER APPLIED TO THIS COMPANY BEFORE? WHERE? WHEN? REFERRED BY EDUCATION NAME AND LOCATION OF SCHOOL GRAMMAR SCHOOL HIGH SCHOOL COLLEGE TRADE, BUSINESS OR CORRESPONDENCE SCHOOL  *NO OF *DID YOU YEARS GRADUATE? SUBJECTS STUDIED ATTENDED GENERAL SUBJECTS OF SPECIAL STUDY OR RESEARCH WORK SPECIAL SKILLS Activities: (CIVIC ATHLETIC ETC.) EXCLUDE ORGANIZATIONS, THE NAME OF WHICH INDICATES THE RACE, CREED. SEX. AGE, MARITAL STATUS, COLOR OR NATION OF ORIGIN OF ITS MEMBERS. U. S MILITARY OR PRESENT MEMBERSHIP IN NAVAL SERVICE RANK NATIONAL GUARD OR RESERVES *This form has been revised to comply with the provisions of the Americans with Disabilities Act and the final regulations and interpretive guidance promulgated by the EEOC on July 26. 1991. TOPS FORM 3285 (92-8) (CONTINUED ON OTHER SIDE) LITHO IN U.S FORMER EMPLOYERS (LIST BELOW LAST THREE EMPLOYERS, STARTING WITH LAST ONE FIRST). DATE MONTH AND YEAR NAME AND ADDRESS OF EMPLOYER SALARY POSITION REASON FOR LEAVING FRM TO FROM TO FROM TO FROM TO WHICH OF THESE JOBS DlD YOU LIKE BEST? WHAT DlD YOU LIKE MOST ABOUT THIS JOB? REFERENCES: GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR. NAME ADDRESS BUSINESS 1 2 3  YEARS ACQUAINTED T IT IS UNLAWFUL IN THE STATE OF MARYLAND TO REQUIRE OR ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. AN EMPLOYER WHO VIOLATES THIS LAW SHALL BE SUBJECT TO CRIMINAL PENALTIES AND CIVIL LIABILITY. IN CASE OF  Signature of Applicant EMERGENCY NOTIFY NAME ADDRESS PHONE NO. "I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED. MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE. AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY'S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IT'S PRESIDENT, AND THEN ONLY WHEN IN WRONG AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING. DATE SIGNATURE DO NOT WRITE BELOW THIS LINE INTERVIEWED BY: FIRST INTERVIEW DATE: SECOND INTERVIEW DATE:  REMARKS: NEATNESS ABILITY HIRED: Q' Yes Q' No POSITION DEPT. SALARY/WAGE DATE REPORTING TO WORK  APPROVED: 1. 2. 3 ACCOUNTING MANAGER DEPT. 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