12/5/2008 - 4:51:26 AM (PST)
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The purpose of this form is to get basic information about you. Once we review your application, we will ask you to send us a copy of your résumé.
* indicates that the section is a Required Section. You have to fill out all fields in that section.
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| Personal Information * |
| First Name: |
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Street: |
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| Middle Name: |
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City: |
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| Last Name: |
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State: |
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| Phone: |
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Zip: |
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| Email: |
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Position Applied: |
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| Educational Background (Please enter current / latest information) |
| College / Unv. |
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Dates Attended: |
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| Degree(s): |
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Major: |
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| Employment History (Please enter current / latest information) |
| Employer: |
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Employer's Phone: |
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| Supervisor: |
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Dates Worked: |
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| Position: |
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Reason Left: |
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| Please read carefully and answer all questions below * |
| Can you provide evidence that you have the legal right to work in the United States? |
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| Have you ever been convicted of a felony? (Convictions include any finding of guilt whether by plea or verdict.) If yes, please explain. You may exclude any sealed or expunged convictions. |
(Explain)
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| Have you ever resigned a position or other employment in lieu of disciplinary action? |
(Explain)
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In exchange for the BAYTECH ’S considering my application for employment, I authorize investigation of all statements contained in this application and any supporting documents. I authorize BAYTECH to secure information about my experience from former employers, educational institutions, government agencies, or any references I have provided, and for those parties to provide such information concerning the subjects covered herein, and I hereby release all parties from any liability arising from such investigation. |
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In exchange for the BAYTECH ’S considering my application for employment, I hereby authorize my former employer to release to [BAYTECH] any personnel information and records, favorable or otherwise, which my employer has kept regarding my employment, including my work performance. I understand that [BAYTECH] may retain photocopies of my records for its files, whether I am offered employment or not. I hereby release all parties, including my former employer and [BAYTECH] from any liability arising from the release, review and retention of any records pertaining to me. |
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I certify that the above information is an accurate and correct statement of my personal and professional history. I understand that if I am employed, any false statement, misrepresentation or omission of facts on this application, on any supporting documents, or provided orally, regardless of when discovered to be false, may result in my immediate dismissal. I further understand and agree that if I am offered a position, it will be offered on condition that my employment shall be at will and for no definite period, and that my employment may be terminated at any time, with or without cause or advance notice. |
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| BAYTECH is an equal opportunity employer and does not discriminate on the basis of race, color, religion, creed, gender, marital status, age, national origin, ancestry, physical or mental disability, medical condition, veteran status or any other consideration made unlawful by federal, state, or local laws.
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